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

Peter Vernon Edblad, PA-C

Individual provider Physician Assistant · NPI 1689554032

Peter Vernon Edblad, PA-C is an Orthopedic Surgery in Gainesville, Georgia. Qualified in 2025, 1 year ago. Practices with The Longstreet Clinic, PC, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756
Phone: (770) 532-7092
Fax: (770) 534-8145
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 13447 (GA)
Physician Assistant Taxonomy 363A00000X (GA)

Record details

NPI number1689554032
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice The Longstreet Clinic, Pc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville