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Jordan Wasdin , PA-C

Physician Assistant β€’ Jesup, GA

Active NPI 1154122331 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

114 W Cherry St
Jesup, GA 315451309

Call 9125881020 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

114 W Cherry St

Jesup, GA 315451309

Telephone 9125881020
Fax 9125881002
Organization at the Same NPPES Address or Phone
Sandra L. Mager, M.d.p.c. Facility NPI 1770839607

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jesup, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Cooperative Healthcare Services Inc; Peachtree Immediate Care Fp, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jordan Wasdin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jordan Wasdin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jesup and Georgia

9 active clinicians are listed under Physician Assistant with a practice address in Jesup, GA (4,665 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES GA 13082

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250612002773

Enrollment State Jurisdiction

GA

PECOS Control ID

6800307323

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Peachtree Immediate Care Fp, Llc

1481 Hwy 40 E, Kingsland, GA 315486507

Phone: 9125766865

Cooperative Healthcare Services Inc

2500 Starling St, Brunswick, GA 315204271

Phone: 9124660800

Peachtree Immediate Care Fp, Llc

111 Colonial Way, Jesup, GA 315450130

Phone: 9125889110

Peachtree Immediate Care Fp, Llc

3827 Jimmy Lee Smith Pkwy, Hiram, GA 301412804

Phone: 7702228900

Peachtree Immediate Care Fp, Llc

485 Canal Rd, Brunswick, GA 315256721

Phone: 9122649111

Secondary Practice Locations

386 Ivy St

Jesup, GA 315463759

Phone: 9122568611

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Lindsey Bookhardt , PA

Physician Assistant

NPI 1942279294

Physician Assistant

Dr. Amelia Bostwick , MD

Obstetrics & Gynecology

NPI 1346485679

Doctor of Medicine (M.D.)

Maggie Hayes , FNP-C

Nurse Practitioner - Family

NPI 1295237881

Family Nurse Practitioner (Certified)

Dr. Sandra Mager , MD

Obstetrics & Gynecology

NPI 1912976846

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 14, 2026

Registered at 114 W CHERRY ST, JESUP, GA 315451309 (Tel: 9125881020)

πŸ“
Updated Business Mailing Address April 14, 2026

Registered at 114 W CHERRY ST, JESUP, GA 315451309

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Physician Assistant (license number reported to NPPES: GA 13082)

πŸ“
Updated Practice Location June 06, 2025

Registered at 111 COLONIAL WAY, JESUP, GA 315450130 (Tel: 9125889110)

πŸ‘€
Provider Name / Credentials Updated June 06, 2025

Recorded as JORDAN WASDIN, PA-C

βœ…
NPI Profile Active March 25, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2025

Registered at 386 IVY ST, JESUP, GA 315463759 (Tel: 9122568611)

πŸ“
Business Mailing Address (Initial Record) March 25, 2025

Registered at 386 IVY ST, JESUP, GA 315463759

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2025

Recorded as JORDAN WASDIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 22, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154122331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2025
Last Update: April 14, 2026
Sole Proprietor: No

Other Physician Assistants in Jesup

Mailing Address

114 W Cherry St

Jesup, GA 315451309

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.