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

Zachary Jordan Whitaker, PA

Individual provider Physician Assistant · NPI 1750649653

Zachary Jordan Whitaker, PA is a Physician Assistant in Vidalia, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone: (912) 535-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 — (912) 535-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6460 (GA)

Record details

NPI number1750649653
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESMay 15, 2021
Certification dateApril 22, 2021

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