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JESSICA KATHERINE VERNON PA-C
NPI 1104597210
Physician Assistant - Medical in Fayetteville, GA

Active since September 28, 2021PECOS EnrolledAccepts Medicare Assignment
98.4/100
CMS Quality Rating
1275 HIGHWAY 54 W STE 201, FAYETTEVILLE, GA 30214(770) 461-3774 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Katherine Vernon Pa-c NPPES

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

JESSICA KATHERINE VERNON PA-C (NPI 1104597210) is an individual medical provider in Fayetteville, Georgia, licensed in Georgia (10526) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104597210
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA KATHERINE VERNONCredential: PA-C
Location Address1275 HIGHWAY 54 W STE 201Fayetteville, GA 30214-4538
Mailing Address245 Highview TrceFayetteville, GA 30215-2384 · (678) 471-7965
Phone(770) 461-3774
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1104597210 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 · 10526
1275 HIGHWAY 54 W STE 201, Fayetteville, GA 30214
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Katherine Vernon Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456759026
PECOS Enrollment IDI20211012002263
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
22 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

CYNTHIA M SMITH PA-C
Physician Assistant (Medical)
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776
CRH
General Practice
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214
Fayette County (678) 688-9685
TAYLA BANKS PA-C
Physician Assistant
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776
ANDREW PEOPLES
Nurse Practitioner (Family)
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776
JACKLINE WANGA GATES
Nurse Practitioner (Family)
1275 HIGHWAY 54 W STE 201
FAYETTEVILLE, GA 30214
Fayette County (770) 461-3776

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 Jessica Vernon's NPI number?

The NPI number for Jessica Vernon is 1104597210. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Jessica Vernon located?

Jessica Vernon practices at 1275 Highway 54 W Ste 201, Fayetteville, GA 30214. The listed phone number is (770) 461-3774.

What is Jessica Vernon's specialty?

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

Is Jessica Vernon enrolled in Medicare?

Yes. Jessica Vernon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Vernon affiliated with any hospitals?

According to CMS data, Jessica Vernon is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Jessica Vernon was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.