PETER VERNON EDBLAD PA-C
NPI 1689554032
Physician Assistant - Surgical in Gainesville, GA
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
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Edblad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 170 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
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.
Which organization bills Medicare for Peter Edblad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Edblad reassigns Medicare benefits to The Longstreet Clinic, PC (Gainesville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Edblad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 11 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.
# Peter Vernon Edblad, PA-C · NPI 1689554032
Surgical physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since September 5, 2025.
## Identity
- **NPI:** 1689554032 (Entity type: Individual)
- **Enumerated:** September 5, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 13447 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 655 JESSE JEWELL PKWY SE, Gainesville, GA 30501-3756
- **Phone:** (770) 532-7092 · **Fax:** (770) 534-8145
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Longstreet Clinic, PC (NPI 1326019977, Gainesville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 18, 2025
- **Other identifiers:** Other 1689554032 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1689554032) · Data from the CMS NPPES public registry.