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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMELINE WYNN LOMBARD PAC
NPI 1750004651
Physician Assistant in Lithonia, GA

Active since September 26, 2022PECOS Enrolled
5403 HILLANDALE PARK CT STE B, LITHONIA, GA 30058(770) 817-0224(770) 817-0228 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2026, Sep 26, 2022 (2 updates tracked since 2022).

About Emmeline Wynn Lombard Pac NPPES

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

EMMELINE WYNN LOMBARD PAC (NPI 1750004651) is an individual physician assistant in Lithonia, Georgia, licensed in Georgia (12270) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750004651
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMELINE WYNN LOMBARDCredential: PAC
Location Address5403 HILLANDALE PARK CT STE BLithonia, GA 30058-8845
Mailing Address5403 Hillandale Park Ct Ste BLithonia, GA 30058-8845 · (770) 817-0224 · Fax (770) 817-0228
Phone(770) 817-0224
Fax(770) 817-0228
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1750004651 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 · 12270
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.
5403 HILLANDALE PARK CT STE B, Lithonia, GA 30058
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmeline Wynn Lombard Pac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmeline Lombard's NPI number?

The NPI number for Emmeline Lombard is 1750004651. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Emmeline Lombard located?

Emmeline Lombard practices at 5403 Hillandale Park Ct Ste B, Lithonia, GA 30058. The listed phone number is (770) 817-0224.

What is Emmeline Lombard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emmeline Lombard enrolled in Medicare?

Yes. Emmeline Lombard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmeline Lombard was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.