Orthoxpress of Georgia
NPI 1124994264ActiveOrganization· Physician Assistant· Roswell, GA
Physician Assistant in Roswell, Georgia, registered in NPPES in October 2025, part of Orthoxpress of Georgia. The authorized official on file is Jennifer C. Bullock, President. Enrolled in Medicare as dme supplier - physician assistant.
Overview
| NPI | 1124994264 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Orthoxpress of Georgia |
| NPI issued | Oct 15, 2025 |
| Last updated in NPPES | Oct 15, 2025 |
| Certified by provider | Oct 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician Assistant (GA) |
|---|
Other Physician Assistant providers in Roswell
- 1528924933
- 1154240315
- 1639768542
- 1770850190
- 1164165353
- 1245845569
- 1912710583
- 1912545583
- 1528752292
- 1801203666
- 1578467924
- 1942999214