JENNIFER HUMPHREYS PAAA
NPI 1932144557
Anesthesiologist Assistant in Lawrenceville, GA

Q: What is Jennifer Humphreys's NPI number?

The NPI number for Jennifer Humphreys is 1932144557. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Q: What is Jennifer Humphreys's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since June 18, 2006Accepts Medicare Assignment

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(770) 277-3056(855) 204-5244 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Humphreys Paaa NPPES

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

JENNIFER HUMPHREYS PAAA (NPI 1932144557) is an individual anesthesiologist assistant in Lawrenceville, Georgia, licensed in Georgia (004172) and active in the NPI registry since June 2006. She is affiliated with Northside Hospital Gwinnett and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932144557

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameJENNIFER HUMPHREYSCredential: PAAA

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-0000

Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569

Phone(770) 277-3056

Fax(855) 204-5244

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 18, 2006

Last NPPES UpdateApril 29, 2014

✔ NPI 1932144557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 004172

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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Other Identifiers 3

Medicare UPINQ10559GA

Medicaid331350757AGA

Medicare ID-Type Unspecified32BBBDGGA

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 Humphreys Paaa 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 ID5890783401

PECOS Enrollment IDI20040503001546

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

Other Providers at the Same Location NPPES 20

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

DR. ROBERT E BLACK III MD

Anesthesiology