P Praxis·MD
● Active Type 1 · Individual

Peter Vernon Edblad, PA-C

Physician Assistant·Gainesville, GA· NPI 1689554032 · Enumerated 2025 · 0 years on NPI
Edblad is 1 of 55 physician assistant providers in Gainesville and 1 of 640 in Georgia.
NPI age
— years
Enumerated 2025-09-05
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
0 years
↓ 13 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-09Enumerated in NPPES
2025 2026

Where they practice

Practice location
655 Jesse Jewell Pkwy Se
Gainesville, GA 305013756
📞 7705327092fax 7705348145
Mailing address
3032 Shades Valley Ln
Gainesville, GA 305017438
📞 7636705725

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #13447 taxonomy 363AS0400X
  • Physician Assistant
    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...
    taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (GA) 1689554032 NPI

Practice context

Part of a multi-provider practice. 33 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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