JARED R SHAFER (NPI# 1023326329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023326329 |
| Entity Type | Individual |
| Full Name | JARED R SHAFER |
| Credential | PA-C |
| Practice Address |
1755 Highway 34 E Suite 2200 Newnan GA 30265-5631 |
| Mailing Address |
1755 Highway 34 E Suite 2200 Newnan GA 30265-3190 |
| Practice Telephone | 7705022175 |
| Practice Fax Number | 7702547837 |
| Mailing Telephone | 7705022175 |
| Mailing Fax Number | 7702547837 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2013-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5930 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1755 HIGHWAY 34 E SUITE 2200 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111428 | Bennie Joe Mullins Jr. | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631 | 2005-11-15 |
| 1518572874 | Kaitlyn Mariel Ogden | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-14 |
| 1336753805 | Lindsay Marie Dixon | Nurse Anesthetist, Certified Registered | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2020-09-02 |
| 1518483411 | Jennifer Marie Tyra | Physical Therapist | 1755 Highway 34 E, Ste 1300, Newnan, GA 30265-3186 | 2017-08-22 |
| 1871018531 | Stephen Daniel Breckenridge | Physical Therapist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2017-08-03 |
| 1699229617 | Blake Austin Hampton | Physical Therapist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2016-08-08 |
| 1154782647 | Karen Martin | Physical Therapy Assistant | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2016-03-11 |
| 1134505910 | Jordan Elizabeth Fowler | Specialist/Technologist | 1755 Highway 34 E, Newnan, GA 30265-5631 | 2015-08-04 |
| 1578947768 | Lee Davis | Physician Assistant | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2015-07-17 |
| 1487955373 | James Russell Smith | Physician Assistant | 1755 Highway 34 E, Ste 2200, Georgia Bone and Joint, Newnan, GA 30265-5631 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1386129724 | Hannah Joy Gravitt | Physician Assistant | 2462 Highway 34 E, Newnan, GA 30265-2372 | 2018-10-02 |
| 1063864130 | Norman Miller Gibby Jr. | Physician Assistant | 775 Poplar Rd Ste 130, Newnan, GA 30265-8301 | 2016-07-12 |
| 1053568915 | Michele Lore | Physician Assistant | 701 Newnan Crossing Bypass, Newnan, GA 30263 | 2008-08-22 |
| 1447454426 | Clerk Surgical Assisting Services | Physician Assistant | 20 Ozmore St, Newnan, GA 30263-1038 | 2007-06-13 |
| 1295823623 | Franchon Renee Carter | Physician Assistant | 59 Hospital Road, Newnan, GA 30263 | 2006-10-11 |
| 1386697944 | Karen Potts-hammond | Physician Assistant | 745 Poplar Rd, Newnan, GA 30265-1618 | 2006-05-17 |
| 1225012602 | Sandra Lynn Morris | Physician Assistant | 710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263-2321 | 2005-11-30 |
| 1235781675 | Michael James Anderson | Physician Assistant | 1825 Highway 34 E, Newnan, GA 30265-6423 | 2019-07-16 |
| 1124503933 | Alexis Noelle Rook | Physician Assistant | 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416 | 2018-09-27 |
| Find all providers in NEWNAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.