Jack Hanson Anzilotti, PAC
NPI 1730711151ActiveIndividual· Physician Assistant, Surgical· Atlanta, GA
Physician Assistant, Surgical (PAC) with Northside Surgical Professional Services LLC, practicing in Atlanta, Georgia. 51 Medicare patients in 2024, $3,315 paid; nearly all of their 103 Part D prescriptions were generic (96%). Depuy Synthes Sales Inc. was the largest of 2 companies reporting payments in 2025, $69.79 in all, mostly food and beverage. Lists Northside Hospital as a hospital affiliation.
Overview
| NPI | 1730711151 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Feb 5, 2020 |
| Last updated in NPPES | Jul 30, 2025 |
| Certified by provider | Jul 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 12988 | GA |
| Physician Assistant, Surgical | 363AS0400X | PA9113011 | FL |
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 Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 62 across 11 procedure codes |
| Paid by Medicare | $3,315 |
Part D prescriptions in 2024
| Prescriptions (claims) | 103 · 103 30-day fills |
|---|---|
| Patients | 46 |
| Total drug cost | $977.79 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northside Surgical Professional Services LLCAtlanta, GA · 364 clinicians
Hospital affiliation
- Northside HospitalAtlanta, GA
Industry payments (Open Payments)
- 2025$69.79 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Depuy Synthes Sales Inc. | $40.50 | 1 |
| Regeneron Healthcare Solutions, Inc. | $29.29 | 1 |
What the 2025 payments were for
- Food and Beverage$69.79 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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