Jon Khoury, PA - Medicare Physician Assistant in Marietta, GA

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Jon Khoury, PA is a medicare enrolled "Physician Assistant" in Marietta, Georgia. He graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Quantum Radiology Pc and his current practice location is 790 Church St Ne Ste 400, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 405-2976.

Jon Khoury is licensed to practice in Georgia (license number 2932) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154424463.

Contact Information

Jon Khoury, PA
790 Church St Ne Ste 400,
Marietta, GA 30060-8957
(770) 405-2976
Not Available

Map and Direction




Provider's Profile

Full NameJon Khoury
GenderMale
SpecialityPhysician Assistant
Experience30 Years
Location790 Church St Ne Ste 400, Marietta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jon Khoury graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1154424463
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284686601
  • Enrollment ID: I20050214000960

Medical Identifiers

Medical identifiers for Jon Khoury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154424463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2932 (Georgia)Primary
207PE0004XEmergency Medicine - Emergency Medical Services 2932 (Georgia)Secondary
363A00000XPhysician Assistant 002932 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone Regional Medical CenterMarietta, GAHospital
Wellstar Douglas Medical CenterDouglasville, GAHospital
Wellstar North Fulton Medical CenterRoswell, GAHospital
Wellstar Cobb Medical CenterAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quantum Radiology Pc4385543230105

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jon Khoury allows following entities to bill medicare on his behalf.
Entity NameEmerginet Srmc, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538118344
PECOS PAC ID: 9436062973
Enrollment ID: O20031110000743
Entity NameQuantum Radiology PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366495988
PECOS PAC ID: 4385543230
Enrollment ID: O20040108000728
Entity NamePiedmont Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376624940
PECOS PAC ID: 3274529524
Enrollment ID: O20040423000767
Entity NameEmergency Care of Atlanta Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093770091
PECOS PAC ID: 0446222111
Enrollment ID: O20040812000223
Entity NameWellstar Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Khoury is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jon Khoury, PA
Po Box 3157,
Indianapolis, IN 46206-3157

Ph: (770) 405-2976		Jon Khoury, PA
790 Church St Ne Ste 400,
Marietta, GA 30060-8957

Ph: (770) 405-2976

Reviews and Comments


Physician Assistant Nurses in Marietta, GA

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Ms. Megan Nichole Dalton, PA-C
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Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060
Phone: 770-281-5100    Fax: 678-581-7100
Jonathan Collier Stone,
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Practice Location: 1044 Azalea Cir, Marietta, GA 30062
Phone: 770-354-0584    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.