Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Nabila Khairunisa

Individual provider Emergency Medicine Physician · NPI 1811686611

Andrea Nabila Khairunisa is a Physician Assistant in Atlanta, Georgia. Graduated from Morehouse School of Medicine in 2024, 2 years ago. Practices with Emory Medical Care Foundation Inc, a 996-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone: (404) 616-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3300 N E Expy Ne Ste 200, Atlanta, GA 30341-3932 — (404) 419-7786

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12776 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 12776 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 12776 (GA)

Record details

NPI number1811686611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2023
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Emory Medical Care Foundation Inc — 996 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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