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

Gerald Paul Thornberry Jr., PA-C

Individual provider Physician Assistant · NPI 1942949136

Gerald Paul Thornberry Jr., PA-C is a Physician Assistant in Kettering, Ohio. Qualified in 2022, 4 years ago. Practices with Gastonia Physician Services PLLC, a 66-clinician group, works from 14 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2
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

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (13)

  • 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 — (937) 702-4500
  • 1997 Miamisburg Centerville Rd, Centerville, OH 45459-3811 — (937) 401-6228
  • 405 W Grand Ave, Dayton, OH 45405-7538 — (937) 723-3211
  • 450f Washington Jackson Rd, Eaton, OH 45320-8699 — (937) 456-8376
  • 100 Kettering Way, Franklin, OH 45005-1155 — (937) 458-4700
  • 1275 N High St, Hillsboro, OH 45133-8273 — (937) 393-6100
  • 8701 Old Troy Pike, Huber Heights, OH 45424-1066 — (937) 558-3338
  • 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 — (937) 384-8791
  • 6147 State Route 122, Middletown, OH 45005-5201 — (513) 261-3410
  • 1 Kettering Way, Piqua, OH 45356-4146 — (937) 916-2625
  • 2300 N Limestone St, Springfield, OH 45503-1102 — (937) 504-8305
  • 600 W Main St, Troy, OH 45373-3384 — (937) 980-7010
  • 1141 N Monroe Dr, Xenia, OH 45385-1619 — (937) 352-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007594RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence APP-000599950 (OH)

Record details

NPI number1942949136
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Gastonia Physician Services Pllc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering