NPI age
1 years
Enumerated 2024-08-10
● Active
Type 1 · Individual
Jasmine Elizabeth Rose Hagen
Hagen is 1 of 33 physician assistant providers in Valdosta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-03
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
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Practice location
1708 Norman Dr
Valdosta, GA 316013574
Mailing address
590 Lanier Ave W
Fayetteville, GA 302141504
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1115 W Call St
Tallahassee, FL 323043556
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.