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

Jonathan Fuller, PA

Individual provider Physician Assistant · NPI 1801229745

Jonathan Fuller, PA is a Physician Assistant in Thomasville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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

915 Gordon Ave Rm 206208
Thomasville, GA 31792-6614
Phone: (229) 228-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1801229745
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 14, 2013
Last updated in NPPESJune 13, 2019
Mailing address3560 W Pinetree Blvd, Thomasville, GA 31792-8822

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