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

Jonathan B Gunther

Individual provider Physician Assistant · NPI 1295417608

Jonathan B Gunther is a Physician Assistant in Fort Moore, Georgia. Qualified in 2023, 3 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (770) 624-4708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1295417608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2023
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address8830 Watkins Ave, Fort Moore, GA 31905-5529

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Moore