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

Jacob Mathew

Individual provider Physician Assistant · NPI 1255982039

Jacob Mathew is a Physician Assistant in Gainesville, Georgia. Qualified in 2019, 7 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1250 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 30501-3865
Phone: (770) 532-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11248 (GA)

Record details

NPI number1255982039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2019
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address295 Lumpkin View Dr, Cleveland, GA 30528-5561

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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