NPI 1154054609 · live from the CMS NPI Registry
Christina Agyepong
Physician Assistant in Atlanta, GA. National Provider Identifier 1154054609, active.
NPI record
| NPI | 1154054609 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1935 Howell Mill Rd Nw, Atlanta, GA 30318 |
| Practice phone | 404-355-2000 |
| Mailing address | 2520 Windy Hill Rd Se Ste 301, Marietta, GA 30067 |
| Enumerated | July 1, 2022 |
| Last updated | January 7, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 12616 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.