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PETER VERNON EDBLAD PA-C
NPI 1689554032
Physician Assistant - Surgical in Gainesville, GA

Active since September 05, 2025PECOS EnrolledAccepts Medicare Assignment
655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 532-7092(770) 534-8145 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Oct 10, 2025, Sep 5, 2025 (3 updates tracked since 2025).

About Peter Vernon Edblad Pa-c NPPES

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

PETER VERNON EDBLAD PA-C (NPI 1689554032) is an individual surgical provider in Gainesville, Georgia, licensed in Georgia (13447) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689554032
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePETER VERNON EDBLADCredential: PA-C
Location Address655 JESSE JEWELL PKWY SEGainesville, GA 30501-3756
Mailing Address3032 Shades Valley LnGainesville, GA 30501-7438 · (763) 670-5725
Phone(770) 532-7092
Fax(770) 534-8145
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 5, 2025
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1689554032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 13447
Also ListedPhysician AssistantTaxonomy 363A00000X
655 JESSE JEWELL PKWY SE, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 1

Other1689554032GA · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Peter Vernon Edblad 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 ID547751711
PECOS Enrollment IDI20251114003634
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.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KRISI APRIL PROBERT OT
Occupational Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
DR. MARLYN BETANCOURT D.M.D.
Dentist (General Practice)
655 JESSE JEWELL PKWY SE, SUITE E
GAINESVILLE, GA 30501
Hall County (770) 539-9110
MR. HUGH COLBY CORNELSON FNP-C
Nurse Practitioner (Family)
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 532-7092
ELIZABETH MARIE HAWKINS PT
Physical Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001
MRS. KAYLEIGH DYCHES BISKUP FNP-C
Nurse Practitioner
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4500
DONALD ROGER WILLERS M.D.
Orthopaedic Surgery
655 JESSE JEWELL PKWY SE, STE B
GAINESVILLE, GA 30501
Hall County (770) 532-7092
ALLISON LEIGH HEDDEN PA-C
Physician Assistant (Surgical)
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
WILLIAM JARED JINKS PT
Physical Therapist
655 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 539-9001

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 Peter Edblad's NPI number?

The NPI number for Peter Edblad is 1689554032. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Peter Edblad located?

Peter Edblad practices at 655 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 532-7092.

What is Peter Edblad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Peter Edblad enrolled in Medicare?

Yes. Peter Edblad 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.

Is Peter Edblad affiliated with any hospitals?

According to CMS data, Peter Edblad is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Peter Edblad was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.