JENNIFER VILLEGAS PAC
NPI 1114705571
Physician Assistant in Lawrenceville, GA

Active since September 18, 2023PECOS EnrolledAccepts Medicare Assignment
2200 MEDICAL CENTER BLVD STE 320, LAWRENCEVILLE, GA 30046(470) 325-1160(678) 701-9860 Get Directions Write a Review

NPPES record last updated: April 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Villegas Pac NPPES

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

JENNIFER VILLEGAS PAC (NPI 1114705571) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (13012) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114705571
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER VILLEGASCredential: PAC
Location Address2200 MEDICAL CENTER BLVD STE 320Lawrenceville, GA 30046-7767
Mailing Address2200 Medical Center Blvd Ste 320Lawrenceville, GA 30046-7767 · (470) 325-1160 · Fax (678) 701-9860
Fax(678) 701-9860
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 18, 2023
Last NPPES UpdateApril 13, 2025
NPPES CertifiedApril 13, 2025
NPI 1114705571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 13012
Definition

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.

2200 MEDICAL CENTER BLVD STE 320, Lawrenceville, GA 30046

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Villegas Pac 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.

PECOS PAC ID9335665165
PECOS Enrollment IDI20250424002619
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114705571, enumerated as an "individual" on September 18, 2023.

The provider is located at 2200 MEDICAL CENTER BLVD STE 320 LAWRENCEVILLE, GA 30046 and the phone number is (470) 325-1160.

Physician Assistant with taxonomy code 363A00000X.

Jennifer Villegas is affiliated with: NORTHSIDE HOSPITAL GWINNETT.