Jason Eric Seymour, PA-C
Individual provider Active NPI Medical Physician Assistant · Savannah, GA
NPI 1366400962 · NPPES record last updated Nov 22, 2017
Key facts
- NPI
- 1366400962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 003481 (GA)
- Practice address
- 5 Executive Cir
Savannah, GA 31406-3345 - Phone
- (912) 355-2400
- Fax
- (912) 355-5324
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edward Dipreta MD P.C.
Practice addresses (Care Compare)
103 Winding Rd
Kingsland, GA 31548-7856
Phone (912) 510-7546
3008 E Park Ave
Brunswick, GA 31520-4241
Phone (912) 265-2142
Hospital & facility affiliations
- Optim Medical Center - Screven
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050509000465 | GA | Practitioner - Physician Assistant | 4789624883 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003481 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland-Nashville Emergency Services, LLC | Current |
Accepting new patients | |
| Southland Emergency Medical Services Consolidated, LLC | Current |
Accepting new patients | |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients | |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients | |
| Cooperative Healthcare Services Inc | Past | Accepting new patients | |
| Liberty Emergency Group LLC | Past | Accepting new patients | |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients | |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients |
Locations
145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950
116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440
1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100
215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207
Interoperability endpoints
- jseymour@directaddress.net
- https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003481 | GA | Yes |
Addresses
Primary practice location
5 Executive Cir
Savannah, GA 31406-3345
Mailing address
103 Winding Road
Dipreta Dermatology
Brunswick, GA 31525
Phone (912) 510-7546
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001610E | Medicaid | GA | |
| 01158096 | Other | GA | AMERIGROUP |
| 100001610F | Medicaid | GA |
Other providers in Savannah, GA
- Erin Gabrielle Serface
- Caitlyn H. Serpas
- Shelby Settle
- Ashwin Meyyappan Sevugan
- Kathryn Blair Sewell
- Kenneth L. Shackle
- Emily Shadel
- Mehrzad Shafiei
- Laharee Shah
- Samit Shah
All providers in Savannah, GA · Medical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.