Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Kristine Grayson, MMSPA-C

Individual provider Physician Assistant · NPI 1538446588

Emily Kristine Grayson, MMSPA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2011, 15 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2011
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Practice location Address checks out

1000 Johnson Ferry Rd
Atlanta, GA 30342
Phone: (404) 851-6323
Fax: (404) 303-3747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 960 Johnson Ferry Rd, Atlanta, GA 30342-1631 — (404) 300-2990
  • 960 Johnson Ferry Rd, Atlanta, GA 30342-1631 — (404) 300-2990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007147 (GA)

Record details

NPI number1538446588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMSPA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2011
Last updated in NPPESMay 6, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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