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

Mr. Jarred Ricketts, PA

Individual provider Surgical Physician Assistant · NPI 1740724814

Mr. Jarred Ricketts, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2016, 10 years ago. Practices with Gwinnett Physician Group, LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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

200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3473
Phone: (770) 219-7099
Fax: (770) 219-7923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 008254 (GA)

Record details

NPI number1740724814
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 8, 2016
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Gwinnett Physician Group, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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