Individual provider · Type 1 NPI

Jessica Ebong, PA-C

Physician Assistant · Hiram, GA

NPI number 1689406597 Active

Practice location

148 Bill Carruth Pkwy
Hiram, GA 30141-3754

Call (470) 610-0145 Map

Mailing address

8901 Stonebridge Blvd Ste 200
Douglasville, GA 30134-2254

Other practice locations

  • 8901 Stonebridge Blvd, Douglasville, GA 30134-2244 · (943) 202-7132

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X7667 (GA)

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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689406597

Jessica Ebong, PA-C's National Provider Identifier is 1689406597, issued on Aug 19, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hiram, GA. The record was last updated on Mar 24, 2025.