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

Casey Jean Bolton, PA-C

Individual provider Physician Assistant · NPI 1629462056

Casey Jean Bolton, PA-C is a Physician Assistant in Gainesville, Georgia. Graduated from University of Alabama School of Medicine in 2014, 12 years ago. Practices with The Longstreet Clinic, PC, a 142-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
University of Alabama School of Medicine
Licensed in
GA
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone: (678) 207-4373
Fax: (770) 533-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 801 Austin Dr, Demorest, GA 30535-4513 — (706) 754-8066
  • 835 Austin Dr, Demorest, GA 30535-4513 — (706) 754-8518

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7500 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 7500 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 7500 (GA)

Record details

NPI number1629462056
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Longstreet Clinic, Pc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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