JENNIFER CLARA MULIJAWAN PA-C
NPI 1730969601
Internal Medicine - Hematology & Oncology in Atlanta, GA

Q: What is Jennifer Mulijawan's NPI number?

The NPI number for Jennifer Mulijawan is 1730969601. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Q: What is Jennifer Mulijawan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since September 29, 2023PECOS EnrolledAccepts Medicare Assignment

550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2024, Nov 6, 2024, Oct 31, 2023 (3 updates tracked since 2023).

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About Jennifer Clara Mulijawan Pa-c NPPES

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

JENNIFER CLARA MULIJAWAN PA-C (NPI 1730969601) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (12886) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730969601

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameJENNIFER CLARA MULIJAWANCredential: PA-C

Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212

Mailing Address550 Peachtree St NeAtlanta, GA 30308-2212 · (404) 686-4411

Phone(404) 686-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 29, 2023

Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1730969601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in GA · 12886

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedPhysician AssistantTaxonomy 363A00000X

550 PEACHTREE ST NE, Atlanta, GA 30308

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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

Jennifer Clara Mulijawan 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 ID7113440280

PECOS Enrollment IDI20250328003184

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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. DOMINIC JOSEPH PAPANDRIA M.D.

Surgery