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

Mr. Jonathan Daniel Clemons, PA-C

Individual provider Physician Assistant · NPI 1073006235

Mr. Jonathan Daniel Clemons, PA-C is a Physician Assistant in Olympia, Washington. Qualified in 2017, 9 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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

3901 Capital Mall Dr SW Ste A
Olympia, WA 98502-8654
Phone: (360) 868-6259
Fax: (360) 491-6328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 267 Grant St, Bridgeport, CT 06610-2805 — (475) 321-3239

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073006235
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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