Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonae Perrin Richardson, PA-C

Individual provider Medical Physician Assistant · NPI 1538611686

Jonae Perrin Richardson, PA-C is a Physician Assistant in Conyers, Georgia. Graduated from Lincoln Memorial University Medical Department in 2016, 10 years ago. Practices with Nsh Cancer Institute Professional Services a, LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Trained at
Lincoln Memorial University Medical Department
Licensed in
GA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1498 Klondike Rd SW Ste 106
Conyers, GA 30094-5169
Phone: (770) 761-7260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8164 (GA)

Record details

NPI number1538611686
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2016 (10 years in practice)
Group practice Nsh Cancer Institute Professional Services A, Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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