JUSTINA LI VEGA (PA-C) – Surgical Physician Assistant, NPI 1003558024
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for JUSTINA LI VEGA (PA-C)
1400 River Place
Braselton, GA 305175600
Phone: (770) 533-7288
Fax: (770) 533-6511
Type: Location
748 Old Norcross Rd Ste 100
Lawrenceville, GA 300463394
Phone: (770) 339-1500
Fax: (770) 339-3528
Type: Location
5041 STONE MOSS WAY
HOSCHTON, GA 305481743
Phone: (678) 577-1636
Type: Mailing
748 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA 300463394
Phone: (770) 339-1500
Fax: (770) 339-3528
Type: Mailing
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone: (770) 533-7288
Fax: (770) 534-9800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $801.
Total Amount is formed as General ($801) + Research ($0) + Ownership ($0) = $801.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($313).
Total Amount
$801
General + Research + Ownership
Payments
28
Total payment records
General Amount
$801
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230123002889 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 246 | 179 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 144 | 144 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 50 | 43 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 49 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 25 | $0 |
Insurance plans in this area (ZIP 30517)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Pain Management | VA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Family Practice | GA | |
| Orthopedic Surgery | WV | |
| N E U R O S U R G E R Y | GA | |
| Nurse Practitioner | GA |
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