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

Jasmine Elizabeth Rose Hagen

Individual provider Physician Assistant · NPI 1326879420

Jasmine Elizabeth Rose Hagen is a Physician Assistant in Valdosta, Georgia. Qualified in 2024, 2 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

1708 Norman Dr
Valdosta, GA 31601-3574
Phone: (229) 588-8017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1115 W Call St, Tallahassee, FL 32304-3556 — (850) 644-1855

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13016 (GA)

Record details

NPI number1326879420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2024
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Valdosta