Healthcare Provider Details

I. General information

NPI: 1629605365
Provider Name (Legal Business Name): JASON MAX SCHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/24/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4298 ATLANTA RD SE STE 110
SMYRNA GA
30080
US

IV. Provider business mailing address

4298 ATLANTA RD SE
SMYRNA GA
30080
US

V. Phone/Fax

Practice location:
  • Phone: 404-847-4210
  • Fax: 404-847-4381
Mailing address:
  • Phone: 855-647-7678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number1017756
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number1017756
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number104476
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: