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

Jacoby Patterson, PA

Individual provider Physician Assistant · NPI 1700414455

Jacoby Patterson, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2019, 7 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875
Phone: (770) 848-6190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2151 W Spring St, Monroe, GA 30655-3202 — (678) 491-0953

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9710 (GA)

Record details

NPI number1700414455
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

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 Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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