JON ERIC STUBBLEFIELD (P.A.) – Medical Physician Assistant, NPI 1174693931

JON ERIC STUBBLEFIELD (P.A.) is a healthcare provider. based in Fort stewart, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 009452-1 (NY). The NPI Number for JON ERIC STUBBLEFIELD (P.A.) is 1174693931

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JON ERIC STUBBLEFIELD (P.A.)
NPI
1174693931
Phone
(912) 435-5457
Address
192 LINDQUIST RD
Enumeration Date
9 November 2006
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7706674343
Graduation Year
2003 (23 years ago)
PAC ID
8022252378
Group Practice PAC ID
2961795190
Professional Enrollment ID
I20190221000560
Address ID
GA300054438AL3400XPKWY507
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for JON ERIC STUBBLEFIELD (P.A.)

  • Lindquist Road, Fort Stewart, Liberty County, Georgia, 31314, United States

    BUILDING 412

    FORT STEWART, GA 31314

    Phone: (912) 435-5457

    Type: Mailing

  • 1110 W PEACHTREE ST NW STE 940

    ATLANTA, GA 303093609

    Phone: (770) 292-6500

    Fax: (770) 292-6535

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190221000560IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1040Injection, methylprednisolone acetate, 80 mg2914$0
20610Aspiration and/or injection of fluid from large joint2613$0
99213Established patient office or other outpatient visit, 20-29 minutes2624$0
73502X-ray of hip, 2-3 views2117$0
73564X-ray of knee, 4 or more views1311$0
View full utilization report →

Insurance plans in this area (ZIP 31314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961795190View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
-GA
Physician AssistantNC
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
-GA
Orthopedic SurgeryMA
Physician AssistantGA

Reviews

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Frequently asked questions

What federal number belongs to JON ERIC STUBBLEFIELD (P.A.)?
The federal identifier for JON ERIC STUBBLEFIELD (P.A.) is NPI 1174693931.
Is JON ERIC STUBBLEFIELD (P.A.) active in the national directory?
JON ERIC STUBBLEFIELD (P.A.)'s public NPI profile is in an active state.
What does JON ERIC STUBBLEFIELD (P.A.) treat or focus on?
Patients typically see JON ERIC STUBBLEFIELD (P.A.) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JON ERIC STUBBLEFIELD (P.A.)?
The page summarizes Fort Stewart, Georgia for JON ERIC STUBBLEFIELD (P.A.); expand the address list for detail.
What if Fort Stewart, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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