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

Jonathan Brian Hart, PA

Individual provider Surgical Physician Assistant · NPI 1174307482

Jonathan Brian Hart, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2023, 3 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
3
Licensed in
GA
In the registry since
2023
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

1211 Sherwood Park Dr NE Ste A
Gainesville, GA 30501-3444
Phone: (770) 219-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34 Maple St, Norwalk, CT 06850-3894 — (203) 852-2000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 13037 (GA)

Record details

NPI number1174307482
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
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 2023 (3 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gainesville