Jennifer Lea Williamson, PA-C
Physician Assistant in Statesboro, GA. Individual provider (NPI-1).
Details
- NPI
- 1497883243
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Lea Williamson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2007
- Certification date
- Dec 31, 2025
- Last updated
- Dec 31, 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 004021 | GA | Yes |
Practice location
1501 Brampton AveStatesboro, GA 30458-0856
Phone 912-871-6206 · Fax 912-681-8558
Mailing address
1310 Brampton AveStatesboro, GA 30458-0851
Phone 912-871-6206 · Fax 912-681-8558
Other practice locations
Statesboro, GA 30458-0851
Phone 912-871-6206 · Fax 912-681-8558
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Statesboro, GA
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All 22 Physician Assistant providers in Statesboro · All 1,371 providers in Statesboro
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