P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer N Vernon, M.D.

Pediatrics·Austell, GA· NPI 1376649871 · Enumerated 2006 · 19 years on NPI
Vernon is 1 of 23 pediatrics providers in Austell and 1 of 2726 in Georgia.
NPI age
19 years
Enumerated 2006-09-15
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
MS, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
1810 Mulkey Rd, Suite 201
Austell, GA 301061151
📞 4043166269
Mailing address
1810 Mulkey Rd, Suite 201
Austell, GA 301061151
📞 4043166269

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    MS license #18618GA license #058830 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (MS) 06936300
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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