JACQUELINE M RICE PA - NPI 1235775438 - Physician Assistant in Lawrenceville, GA

Q: What is Jacqueline Rice's NPI number?

The NPI number for Jacqueline Rice is 1235775438. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Q: What is Jacqueline Rice's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Rice was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacqueline M Rice Pa NPPES

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

JACQUELINE M RICE PA (NPI 1235775438) is an individual surgical provider in Lawrenceville, Georgia, licensed in Georgia (10160) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1235775438

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJACQUELINE M RICECredential: PA

Location Address631 PROFESSIONAL DR STE 170Lawrenceville, GA 30046-3392

Mailing Address1973 Boyd Trace Ln NwAtlanta, GA 30318-4471 · (859) 684-5250 · Fax (859) 684-5250

Phone(678) 312-2663

Sole ProprietorNo

Enumeration DateNovember 22, 2019

Last NPPES UpdateApril 9, 20254 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1235775438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in GA · 10160✔ Licensed in FL · PA9112791

631 PROFESSIONAL DR STE 170, Lawrenceville, GA 30046

Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 328-5979 · Fax (904) 619-9925

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline M Rice Pa 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

43 services42 patients

Other Providers at the Same Location NPPES 8

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

CASSIDY ROSE HEFLIN PA

Physician Assistant