Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689554032 Individual Practitioner Male Practitioner

Peter Vernon Edblad , PA-C

Physician Assistant - Surgical • Gainesville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Peter Edblad, PA-C is a certified Physician Assistant - Surgical practicing in Gainesville, GA. With approximately 1 years of clinical experience since completing medical education in 2025, Peter Edblad delivers high-quality medical care to the local community at 655 JESSE JEWELL PKWY SE.

Peter Edblad is affiliated with The Longstreet Clinic, Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

655 Jesse Jewell Pkwy Se

Gainesville, GA 305013756

Telephone 7705327092
Fax 7705348145
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Gainesville, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
55 Specialists

Practicing in Gainesville, GA (539 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edblad (1 Years) 1 Yrs
Gainesville Specialty Average (11.0 Years) 11.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-18
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License GA 13447

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1689554032 (GA)

Hospital & Practice Group Affiliations

The Longstreet Clinic, Pc

655 Jesse Jewell Pkwy Se, Gainesville, GA 305013854

Phone: 7705336511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Hugh Cornelson , FNP-C

Nurse Practitioner - Family

NPI 1053899682

Family Nurse Practitioner (Certified)

Dr. Donald Willers , MD

Orthopaedic Surgery

NPI 1154344737

Doctor of Medicine (M.D.)

Christopher Thomas , PA-C

Physician Assistant - Medical

NPI 1417247073

Physician Assistant (Certified)

Amanda Wallace , PA-C

Physician Assistant - Surgical

NPI 1518249838

Physician Assistant (Certified)

Dr. Harry Ferran , MD

Orthopaedic Surgery

NPI 1598788077

Doctor of Medicine (M.D.)

Kelly Hemphill , PA-C

Physician Assistant - Surgical

NPI 1609049089

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location October 10, 2025

Registered at 655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013756 (Tel: 7705327092)

NPI Profile Active September 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2025

Registered at 655 JESSE JEWELL PKWY SE STE B, GAINESVILLE, GA 305013854 (Tel: 6782074500)

📍
Updated Business Mailing Address September 05, 2025

Registered at 3032 SHADES VALLEY LN, GAINESVILLE, GA 305017438 (Tel: 7636705725)

👤
Provider Name / Credentials Updated September 05, 2025

Recorded as PETER EDBLAD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 05, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689554032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2025
Last Update: November 18, 2025
Sole Proprietor: Yes

Mailing Address

3032 Shades Valley Ln

Gainesville, GA 305017438

Phone: 7636705725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.