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

Mr. Jeffrey Soboleski, PA-C

Individual provider Medical Physician Assistant · NPI 1528459047

Mr. Jeffrey Soboleski, PA-C is a Physician Assistant in Fort Stewart, Georgia. Qualified in 2013, 13 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2015
Specialties on file
2
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

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 Grand Central Blvd Ste 108, Pooler, GA 31322-4148 — (912) 748-1515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12568 (GA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1528459047
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 6, 2015
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Stewart