Active NPI
Jason Weddington, PA-C
- Surgical Physician Assistant
- Atlanta, GA
National Provider Identifier
1912356775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 7982
- Practice address
- 5667 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30342-1725 - Phone
- (404) 252-2422
- NPI assigned
- Jun 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 7982 | GA | Primary |
Addresses
Primary practice location
5667 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30342-1725
Mailing address
1160 Hammond Dr Unit 257
Sandy Springs, GA 30328-5493
Phone (404) 697-9869
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7982 | GA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465603200000",
"number": "1912356775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 HAMMOND DR UNIT 257",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285493",
"telephone_number": "404-697-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5667 PEACHTREE DUNWOODY RD STE 220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421725",
"telephone_number": "404-252-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDDINGTON",
"first_name": "JASON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-11",
"last_updated": "2016-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "7982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.