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JESSICA EBONG PA-C
NPI 1689406597
Physician Assistant in Hiram, GA

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
148 BILL CARRUTH PKWY, HIRAM, GA 30141(470) 610-0145 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Aug 19, 2024 (2 updates tracked since 2024).

About Jessica Ebong Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA EBONG PA-C (NPI 1689406597) is an individual physician assistant in Hiram, Georgia, licensed in Georgia (7667) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and maintains a secondary practice location in Douglasville.

NPPES Registry Identity

NPI1689406597
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA EBONGCredential: PA-C
Location Address148 BILL CARRUTH PKWYHiram, GA 30141-3754
Mailing Address8901 Stonebridge Blvd Ste 200Douglasville, GA 30134-2254
Phone(470) 610-0145
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1689406597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 7667
Definition
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.
148 BILL CARRUTH PKWY, Hiram, GA 30141
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Secondary Practice Location 1

Location 18901 Stonebridge BlvdDouglasville, GA 30134-2244 · Phone (943) 202-7132

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Ebong Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799219812
PECOS Enrollment IDI20241112004295
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VANCHAD C MEMARK M.D.
Surgery
148 BILL CARRUTH PKWY, SUITE 180
HIRAM, GA 30141
Paulding County (770) 445-4915
MS. JUDY OZERYANSKY P.T.
Physical Therapist
148 BILL CARRUTH PKWY, SUITE 120
HIRAM, GA 30141
Paulding County (770) 443-7136
ALAN CHUNG-KEE CHENG M.D.
Internal Medicine (Cardiovascular Disease)
148 BILL CARRUTH PKWY, SUITE 100
HIRAM, GA 30141
Paulding County (678) 324-4444
REBECCA YOUNGBLOOD VAUGHN M.D.
Dermatology
148 BILL CARRUTH PKWY, STE 280
HIRAM, GA 30141
Paulding County (678) 363-3343
DR. CHRISTINE MIN MD
Radiology (Radiation Oncology)
148 BILL CARRUTH PKWY, SUITE LL30
HIRAM, GA 30141
Paulding County (770) 505-3855
KIMBERLY PATTERSON MPT
Physical Therapist
148 BILL CARRUTH PKWY, SUITE 160
HIRAM, GA 30141
Paulding County (470) 956-8990
WELLSTAR CARDIOVASCULAR MEDICINE, LLC
Internal Medicine (Cardiovascular Disease)
148 BILL CARRUTH PKWY, SUITE 100
HIRAM, GA 30141
Paulding County (678) 324-4444
TIMOTHY ZACHARY BROCK M.D.
Surgery
148 BILL CARRUTH PKWY, SUITE 180
HIRAM, GA 30141
Paulding County (770) 445-4915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ebong's NPI number?

The NPI number for Jessica Ebong is 1689406597. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Jessica Ebong located?

Jessica Ebong practices at 148 Bill Carruth Pkwy, Hiram, GA 30141. The listed phone number is (470) 610-0145.

What is Jessica Ebong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Ebong enrolled in Medicare?

Yes. Jessica Ebong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Ebong accept?

Health plans from Alliant Health Plans, Inc. list Jessica Ebong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Ebong affiliated with any hospitals?

According to CMS data, Jessica Ebong is affiliated with Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Ebong was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.