JOHNATHAN KEITH COLTON JERRIS PA
NPI 1093310021
Physician Assistant - Medical in Atlanta, GA

Q: What is Johnathan Jerris's NPI number?

The NPI number for Johnathan Jerris is 1093310021. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Q: What is Johnathan Jerris's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Johnathan Jerris was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2020

300 BUCKHEAD AVE NE, ATLANTA, GA 30305(404) 400-2800 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Jan 21, 2021, Jan 15, 2021 and 1 more (4 updates tracked since 2020).

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About Johnathan Keith Colton Jerris Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNATHAN KEITH COLTON JERRIS PA (NPI 1093310021) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (10188) and active in the NPI registry since November 2020. He maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1093310021

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOHNATHAN KEITH COLTON JERRISCredential: PA

Location Address300 BUCKHEAD AVE NEAtlanta, GA 30305-3063

Mailing Address31 Coventry Dr SeRome, GA 30161-8412 · (706) 248-5048

Phone(404) 400-2800

Sole ProprietorNo

Enumeration DateNovember 30, 2020

Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1093310021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 10188

300 BUCKHEAD AVE NE, Atlanta, GA 30305

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Secondary Practice Location 1

Location 13379 Peachtree Rd NE Ste 800Atlanta, GA 30326-1418 · Phone (470) 205-9063

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH MUHA FNP-C

Nurse Practitioner (Family)

300 BUCKHEAD AVE NE
ATLANTA, GA 30305

Fulton County (917) 419-9630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathan Jerris's NPI number?

The NPI number for Johnathan Jerris is 1093310021. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Johnathan Jerris located?

Johnathan Jerris practices at 300 Buckhead Ave NE, Atlanta, GA 30305. The listed phone number is (404) 400-2800.

What is Johnathan Jerris's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Johnathan Jerris was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.