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

Jonathan David Beck, PAC

Individual provider Physician Assistant · NPI 1679822308

Jonathan David Beck, PAC is a Physician Assistant in Canton, Georgia. Graduated from Lincoln Memorial University Medical Department in 2012, 14 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
Lincoln Memorial University Medical Department
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

470 Northside Cherokee Blvd Ste 170
Canton, GA 30115-8029
Phone: (770) 721-9540
Fax: (770) 721-9541
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6636 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679822308
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 10, 2012
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address1467 Brookfield Dr, Morristown, TN 37814-8002

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2012 (14 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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