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

Mr. Thomas Lee Ryan, PA

Individual provider Physician Assistant · NPI 1093715708

Mr. Thomas Lee Ryan, PA is a Physician Assistant in Jesup, Georgia. Graduated from University of Nebraska College of Medicine in 1999, 27 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
University of Nebraska College of Medicine
Licensed in
GA
In the registry since
2005
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

111 Colonial Way
Jesup, GA 31545-0130
Phone: (912) 588-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002971 (GA)

Record details

NPI number1093715708
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021
Mailing address111 Colonial Way, Jesup, GA 31545-0130

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1999 (27 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

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