NPIMap

Individual provider Active NPI

Jonathan S Dial, P.A.

  • Medical Physician Assistant
  • Waycross, GA
National Provider Identifier
1366523292
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004822 Issued in GA
Practice address
808 Beacon St
Waycross, GA 31501-7104
Phone
(912) 490-4325
Fax
(912) 490-2873
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004822 GA Primary

Addresses

Primary practice location

808 Beacon St
Waycross, GA 31501-7104

Mailing address

808 Beacon St
Waycross, GA 31501-7104
Phone (912) 490-4325

Other practice location 1

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 338-6368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JONATHAN.DIAL@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000585 GA Practitioner - Physician Assistant 8729180773 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Health and Wellness, LLCGroup PAC ID 0648526368, 4 clinicians

Practice addresses (Care Compare)

808 Beacon St
Waycross, GA 31501-7104
Phone (912) 490-4325

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.07 of 100Reported as group
Quality
81.4
Promoting interoperability
99
Improvement activities
40
Cost
71.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004822GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathan.dial@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1366523292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BEACON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315017104",
            "telephone_number": "912-490-4325",
            "fax_number": "912-490-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Tebeau St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315016357",
            "country_code": "US",
            "telephone_number": "912-338-6368",
            "fax_number": "912-338-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAL",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JONATHAN.DIAL@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1900 Tebeau St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315016357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.