JENNIFER LEGG – Medical Physician Assistant, NPI 1043976764

JENNIFER LEGG is a healthcare provider. based in Fort stewart, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9115840 (FL). The NPI Number for JENNIFER LEGG is 1043976764

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEGG
NPI
1043976764
Phone
(254) 319-0234
Address
97 COURAGE LOOP
Enumeration Date
17 November 2021
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065964000
Graduation Year
2021 (5 years ago)
PAC ID
0143616623
Group Practice PAC ID
3779497045
Professional Enrollment ID
I20241210001660
Address ID
GA319046878CO2122XEXPY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for JENNIFER LEGG

  • 97 COURAGE LOOP

    FORT STEWART, GA 313155876

    Phone: (254) 319-0234

    Type: Mailing

  • 925 N STONE ST

    DELAND, FL 327202521

    Phone: (386) 734-6007

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2023-02-11 • Largest payer in this snapshot: NuVasive, Inc. ($79).

Total Amount

$79

General + Research + Ownership

Payments

2

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
NuVasive, Inc.$79
View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220410000056IPhysician AssistantFLTBD
I20241210001660IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5633$0
View full utilization report →

Insurance plans in this area (ZIP 31315)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779497045View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineWI
Emergency MedicineGA
Emergency MedicineAL
Emergency MedicineNC
Emergency MedicineGA
Emergency MedicineWI
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER LEGG?
The federal identifier for JENNIFER LEGG is NPI 1043976764.
Is JENNIFER LEGG's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JENNIFER LEGG's specialty in plain language?
Clinically, the directory lists JENNIFER LEGG with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER LEGG?
The snapshot lists Fort Stewart, Georgia for JENNIFER LEGG; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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