Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN KEITH COLTON JERRIS, PA
ActiveJOHNATHAN KEITH COLTON JERRIS, PA is a Medical Physician Assistant healthcare provider located in SMYRNA, Georgia. NPI 1093310021 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SMYRNA, GA
Registration Details
- NPI Number
- 1093310021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2020 (5.7494452617334 yrs)
- Last Updated
- Jan 21, 2021
- License
-
10188 (GA)
Practice Information
- Address
-
3903 S COBB DR SESMYRNA, GA, 300808504Browse GA providers · Browse ZIP 30080
- Phone
- 7704353214
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SMYRNA, GA
| Name | Credential | NPI |
|---|---|---|
| ALICE F. FAZEKAS | PA | 1295824324 |
| RICHARD THOMAS SCHICK | PA-C | 1245360247 |
| ANTHONY P FERRARA | — | 1487989695 |
| TIMOTHY ALAN HATT | PA-C | 1285048371 |
| BRENDA TERRY | PA-C | 1962850446 |
| JACOB SCHOEFF | — | 1942824990 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.