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JENNIFER M WOLFE M.-P.A.-C.
NPI 1104905710
Physician Assistant - Medical in Statesboro, GA

Active since November 03, 2006PECOS Enrolled
16741 HIGHWAY 67 STE A, STATESBORO, GA 30458(912) 871-7890(912) 871-7898 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer M Wolfe M.-p.a.-c. NPPES

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

JENNIFER M WOLFE M.-P.A.-C. (NPI 1104905710) is an individual medical provider in Statesboro, Georgia, licensed in Georgia (004532) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104905710
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER M WOLFECredential: M.-P.A.-C.
Location Address16741 HIGHWAY 67 STE AStatesboro, GA 30458-2529
Mailing Address16741 Highway 67 Ste AStatesboro, GA 30458-2529 · (912) 871-7890 · Fax (912) 871-7898
Phone(912) 871-7890
Fax(912) 871-7898
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJanuary 4, 2011
✔ NPI 1104905710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 004532
16741 HIGHWAY 67 STE A, Statesboro, GA 30458
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer M Smith

Other Identifiers 3

Medicare UPINQ53812GA
Medicare ID-Type Unspecified97WCGXSGA
Medicaid379987348BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Wolfe M.-p.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

JULIE ELIZABETH SAPP FNP-BC
Nurse Practitioner
16741 HIGHWAY 67 STE A
STATESBORO, GA 30458
Bulloch County (912) 623-2391

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 Jennifer Wolfe's NPI number?

The NPI number for Jennifer Wolfe is 1104905710. It was assigned to this individual provider in the NPPES registry on November 3, 2006. The provider is also known as Jennifer M Smith.

Where is Jennifer Wolfe located?

Jennifer Wolfe practices at 16741 Highway 67 Ste A, Statesboro, GA 30458. The listed phone number is (912) 871-7890.

What is Jennifer Wolfe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Wolfe enrolled in Medicare?

Yes. Jennifer Wolfe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Wolfe was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.