Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jett Surgical LLC

Organization Surgical Physician Assistant · NPI 1417408964

Jett Surgical LLC is a Surgical Physician Assistant in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

915 Randall Ct NW
Marietta, GA 30064-4724
Phone: (770) 842-1907
Fax: (678) 214-5098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1256 (GA)

Record details

NPI number1417408964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Jetton — Ceo · (770) 842-1907
NPI enumeratedOctober 19, 2016
Last updated in NPPESDecember 12, 2016
Mailing addressPo Box 422252, Atlanta, GA 30342-9252

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