Healthcare Provider Details

I. General information

NPI: 1528346152
Provider Name (Legal Business Name): JEWEL SAWYER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 19TH ST NW STE 7220
ATLANTA GA
30363-1131
US

IV. Provider business mailing address

2140 PEACHTREE RD NW STE 232
ATLANTA GA
30309-1314
US

V. Phone/Fax

Practice location:
  • Phone: 404-367-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number06190
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number06190
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: