P Praxis·MD
● Active Type 2 · Organization

Jett Surgical Llc

Physician Assistant·Marietta, GA· NPI 1417408964 · Enumerated 2016 · 9 years on NPI
Jett Surgical Llc is 1 of 640 physician assistant organizations in Georgia.
NPI age
9 years
Enumerated 2016-10-19
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jetton
Ceo
Last NPPES update
2016-12-12
Source: monthly bulk 2026-05

How this organization compares

Across 640 active physician assistant providers in Georgia.

NPI age
9 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
915 Randall Ct Nw
Marietta, GA 300644724
📞 7708421907fax 6782145098
Mailing address
Po Box 422252
Atlanta, GA 303429252
📞 7708421907fax 6782145098

Authorized official

Wendy Kae Jetton, CSA
Ceo
📞 7708421907

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #1256 taxonomy 363AS0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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