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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETER VERNON EDBLAD, PA-C

Active Sole Proprietor

PETER VERNON EDBLAD, PA-C is a Surgical Physician Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1689554032 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · GAINESVILLE, GA

Registration Details

NPI Number
1689554032
Provider Type
Individual
Gender
Male
NPI Issued
Sep 5, 2025 (0.96468432419873 yrs)
Last Updated
Nov 18, 2025
License
13447 (GA)
Sole Proprietor
Yes

Practice Information

Address
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA, 305013756
Browse GA providers · Browse ZIP 30501
Phone
7705327092
Fax
7705348145
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in GAINESVILLE, GA

Name Credential NPI
MRS. DAWN M FERRER PA-C 1578547832
JARRETT R KIESEL PA 1831173418
JAMES WILLIAM BECKER PA-C 1366417149
JAMES RAYMOND LOVETT PA-C 1447225222
CAMERON MICHAEL BERGIN PA 1609829274
OLUWOLE ANDREW OKUNSANYA PA 1669485579
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.