P Praxis·MD
● Active Type 1 · Individual

MR. Jonathan S Dial, P.A.

Physician Assistant·Waycross, GA· NPI 1366523292 · Enumerated 2006 · 19 years on NPI
Dial is 1 of 9 physician assistant providers in Waycross and 1 of 1333 in Georgia.
NPI age
19 years
Enumerated 2006-10-18
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1900 Tebeau St
Waycross, GA 315016357
📞 9123386368fax 9123387113
Mailing address
1900 Tebeau St
Waycross, GA 315016357
📞 9123386368fax 9123387113

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004822 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.

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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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