Individual provider Active NPI

Leah Marie Jobson, PA-C

  • Medical Physician Assistant
  • Watkinsville, GA
National Provider Identifier
1194192732
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8780 Issued in GA
Practice address
1624 Mars Hill Rd Ste B
Watkinsville, GA 30677
Phone
(706) 310-1030
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8780 GA
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 8780 GA Primary

Addresses

Primary practice location

1624 Mars Hill Rd Ste B
Watkinsville, GA 30677

Mailing address

1624 Mars Hill Rd Ste B
Watkinsville, GA 30677-4813
Phone (706) 310-1030

Other practice location 1

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (770) 696-3864

Other practice location 2

541 NE 20th Ave Ste 210
Portland, OR 97232-2862
Phone (503) 233-6940

Other names 1

  • Ms. Leah Marie Wadkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8780GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Primary Care, L.L.C. Internal Medicine PastSince Dec 1, 2009 Accepting new patients
Portland Family Practice Inc. PastSince Jan 5, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1194192732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774813",
            "telephone_number": "706-310-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-310-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Edgewater St NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973044049",
            "country_code": "US",
            "telephone_number": "770-696-3864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 NE 20th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322862",
            "country_code": "US",
            "telephone_number": "503-233-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOBSON",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "8780",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "WADKINS",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.