JENA PUGH CNP
NPI 1790793479
Nurse Practitioner - Women's Health in Lawrenceville, GA
About Jena Pugh Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENA PUGH CNP (NPI 1790793479) is an individual women's health provider in Lawrenceville, Georgia, licensed in Georgia (RN208906) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jena Pugh Cnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jena Pugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 275 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Jena Pugh's NPI number?
The NPI number for Jena Pugh is 1790793479. It was assigned to this individual provider in the NPPES registry on August 4, 2006.
Where is Jena Pugh located?
Jena Pugh practices at 759 Old Norcross Rd, Lawrenceville, GA 30046. The listed phone number is (404) 300-2379.
What is Jena Pugh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Jena Pugh enrolled in Medicare?
Yes. Jena Pugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jena Pugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jena Pugh reassigns Medicare benefits to Gwinnett Physician Group, LLC (Lawrenceville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jena Pugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jena Pugh was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jena Pugh, CNP · NPI 1790793479
Women's Health physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since August 4, 2006.
## Identity
- **NPI:** 1790793479 (Entity type: Individual)
- **Enumerated:** August 4, 2006
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** RN208906 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 759 OLD NORCROSS RD, Lawrenceville, GA 30046-4317
- **Phone:** (404) 300-2379 · **Fax:** (404) 300-2379
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gwinnett Physician Group, LLC (NPI 1578574661, Lawrenceville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 1, 2017
- **Other identifiers:** Medicaid 2669474 (OH); Medicare PIN 202I508476 (GA); Medicaid 003128343C (GA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790793479) · Data from the CMS NPPES public registry.