Individual provider · Type 1 NPI

Johnathan Keith Colton Jerris, PA

Medical Physician Assistant · Atlanta, GA

NPI number 1093310021 Active

Practice location

300 Buckhead Ave NE
Atlanta, GA 30305-3063

Call (404) 400-2800 Map

Mailing address

31 Coventry Dr SE
Rome, GA 30161-8412

Other practice locations

  • 3379 Peachtree Rd NE Ste 800, Atlanta, GA 30326-1418 · (470) 205-9063

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10188 (GA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1093310021

Johnathan Keith Colton Jerris, PA's National Provider Identifier is 1093310021, issued on Nov 30, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Mar 26, 2026.