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

Jesse Blair Eason, PA-C

Individual provider Medical Physician Assistant · NPI 1659666063

Jesse Blair Eason, PA-C is a Physician Assistant in Valdosta, Georgia. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2011
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

2501 N Patterson St
Valdosta, GA 31602-1735
Phone: (229) 333-1110
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6090 (GA)

Record details

NPI number1659666063
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESJanuary 10, 2018
Mailing address4904 Princess Dr, Lake Park, GA 31636-3120

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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