P Praxis·MD
● Active Type 1 · Individual

MR. Jon Andrew Logan, RPA

Physician Assistant·Atlanta, GA· NPI 1215133038 · Enumerated 2007 · 18 years on NPI
Logan is 1 of 1157 physician assistant providers in Atlanta and 1 of 4616 in Georgia.
NPI age
18 years
Enumerated 2007-06-27
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
18 years
↑ 10 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
621 North Ave, Ste. C-30
Atlanta, GA 303541430
📞 6789046820
Mailing address
214 Sutton Rd
Tifton, GA 317942221
📞 2293822827

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #06WI1204 taxonomy 363A00000X
  • Radiologic Technologist
    A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam...
    GA license #309371 taxonomy 2471C3401X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 46 new physician assistant providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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