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

Dr. Jason Alexander Petrofski, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1568508893

Dr. Jason Alexander Petrofski, MD is a Colorectal Surgery (Proctology) in Cumming, Georgia. Graduated from Johns Hopkins University School of Medicine in 1999, 27 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
Johns Hopkins University School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1505 Northside Blvd Ste 1900
Cumming, GA 30041-7623
Phone: (678) 341-3764
Fax: (678) 341-3769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 059311 (GA)

Record details

NPI number1568508893
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount