Individual provider Active NPI

Jan Pieters Ceyssens, PA

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1831608512
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8582 Issued in GA
Practice address
701 Greene St Ste 200
Augusta, GA 30901-2385
Phone
(706) 722-6900
Fax
(706) 722-5118
NPI assigned
Sep 25, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8582 GA Primary

Addresses

Primary practice location

701 Greene St Ste 200
Augusta, GA 30901-2385

Mailing address

701 Greene St Ste 200
Augusta, GA 30901-2385
Phone (706) 722-6900

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
I20180108003214 GA Practitioner - Physician Assistant 1153680665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Primary Care Services LLCGroup PAC ID 2466513874, 37 clinicians

Practice addresses (Care Compare)

3623 J Dewey Gray Cir
Augusta, GA 30909-6554

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8582GAMDPhysician Assistant
2999SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc Current Accepting new patients
Neighborhood Improvement Project Inc CurrentSince May 1, 2023 Accepting new patients

Locations

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

Organizations & group practices 4

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.

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1831608512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GREENE ST STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012385",
            "telephone_number": "706-722-6900",
            "fax_number": "706-722-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GREENE ST STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012385",
            "telephone_number": "706-722-6900",
            "fax_number": "706-722-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEYSSENS",
        "first_name": "JAN",
        "middle_name": "PIETERS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.