Macy Jo Jernigan, PA
Physician Assistant, Surgical in Sun City, AZ. Individual provider (NPI-1).
NPI number1003587809
StatusActive
Last updated in NPPESDec 16, 2025
Details
- NPI
- 1003587809
- Entity type
- Individual (NPI-1)
- Name
- Macy Jo Jernigan
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2021
- Certification date
- Dec 16, 2025
- Last updated
- Dec 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
10401 W. Thunderbird BlvdSuite 300
Sun City, AZ 85351
Phone 623-977-7211 · Fax 480-256-3682
Mailing address
10401 W Thunderbird Blvd Ste 300Sun City, AZ 85351-3004
Phone 623-977-7211 · Fax 480-256-3682
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All 11 Surgical Physician Assistant providers in Sun City · All 1,247 providers in Sun City
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