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JOEL HERNANDEZ PA-C
NPI 1902202468
Physician Assistant - Surgical in Douglas, GA

Active since November 11, 2014PECOS Enrolled
110 SHIRLEY AVE, DOUGLAS, GA 31533(912) 383-9789 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joel Hernandez Pa-c NPPES

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

JOEL HERNANDEZ PA-C (NPI 1902202468) is an individual surgical provider in Douglas, Georgia, licensed in Georgia (7412) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902202468
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOEL HERNANDEZCredential: PA-C
Location Address110 SHIRLEY AVEDouglas, GA 31533-2324
Mailing Address110 Shirley AveDouglas, GA 31533-2324 · (912) 383-9789
Phone(912) 383-9789
Sole ProprietorNo
Enumeration DateNovember 11, 2014
✔ NPI 1902202468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 7412
Also ListedPhysician AssistantTaxonomy 363A00000X
110 SHIRLEY AVE, Douglas, GA 31533
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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)

Joel Hernandez Pa-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.

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 Joel Hernandez's NPI number?

The NPI number for Joel Hernandez is 1902202468. It was assigned to this individual provider in the NPPES registry on November 11, 2014.

Where is Joel Hernandez located?

Joel Hernandez practices at 110 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 383-9789.

What is Joel Hernandez's specialty?

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

Is Joel Hernandez enrolled in Medicare?

Yes. Joel Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joel Hernandez was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.