NPI age
1 years
Enumerated 2024-08-19
● Active
Type 1 · Individual
Jessica Ebong, PA-C
Ebong is 1 of 10 physician assistant providers in Hiram and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-24
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
148 Bill Carruth Pkwy
Hiram, GA 301413754
Mailing address
8901 Stonebridge Blvd Ste 200
Douglasville, GA 301342254
Additional practice locations
1 secondary location on file with NPPES.
Location 2
8901 Stonebridge Blvd
Douglasville, GA 301342244
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
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Hiram in the last 180 days.
See all →
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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.