Individual provider Active NPI

Jonathan David Hill, PA

  • Physician Assistant
  • Watkinsville, GA
National Provider Identifier
1679137681
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10435 Issued in GA
Practice address
2061 Experiment Station Rd Ste 505
Watkinsville, GA 30677-5327
Phone
(706) 310-0324
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10435 GA
Physician Assistant 363A00000X 10435 GA Primary

Addresses

Primary practice location

2061 Experiment Station Rd Ste 505
Watkinsville, GA 30677-5327

Mailing address

1680 Eatonton Rd Ste a
Madison, GA 30650-4628
Phone (706) 310-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730000485 GA Practitioner - Physician Assistant 3375946197 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10435GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Oconee, LLC CurrentSince Dec 1, 2021 Accepting new patients
Urgent Care of Oconee, LLC CurrentSince Dec 1, 2021 Accepting new patients
Athens Clarke Medical Enterprises LLC Past Accepting new patients

Locations

2375 W Broad St
Ste G
Athens, GA 30606
Phone (706) 567-6151

1680 Eatonton Rd
#A
Madison, GA 30650
Phone (706) 343-4043

1690 Eatonton Rd
Madison, GA 30650
Phone (706) 342-7272

2061 Experiment Station Rd
Ste 505
Watkinsville, GA 30677
Phone (706) 310-0324

Interoperability endpoints

  • Direct secure messaging: jhill3350229@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 3

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1679137681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 EATONTON RD STE A",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504628",
            "telephone_number": "706-310-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 EXPERIMENT STATION RD STE 505",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775327",
            "telephone_number": "706-310-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10435",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.