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

Mr. Jared K Robinson, PA-C

Individual provider Family Medicine Physician · NPI 1407407828

Mr. Jared K Robinson, PA-C is a Physician Assistant in Canton, Georgia. Graduated from Emory University School of Medicine in 2020, 6 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2019
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

1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266
Phone: (678) 341-6360
Fax: (770) 928-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 — (678) 402-9550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10309 (GA)

Record details

NPI number1407407828
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address12175 Wildwood Springs Dr, Roswell, GA 30075-1890

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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