JAKE LEWES HAMBY (PA) – Physician Assistant, NPI 1194596668

JAKE LEWES HAMBY (PA) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 12332 (GA). The NPI Number for JAKE LEWES HAMBY (PA) is 1194596668

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JAKE LEWES HAMBY (PA)
NPI
1194596668
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
12 January 2024
Last Update Date
29 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705342020
Graduation Year
2024 (2 years ago)
PAC ID
4880137090
Group Practice PAC ID
4183848062
Professional Enrollment ID
I20240617001237
Address ID
GA305013715GA743XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for JAKE LEWES HAMBY (PA)

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 200 S ENOTA DR NE STE 480

    GAINESVILLE, GA 305013473

    Phone: (770) 599-2485

    Type: Location

  • 743 Spring St NE

    Gainesville, GA 305013715

    Phone: (770) 534-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($95).

Total Amount

$171

General + Research + Ownership

Payments

5

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240617001237IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30374)

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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: 4183848062View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
-GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA
Physician AssistantGA
Cardiac ElectrophysiologyGA
Cardiovascular Disease (Cardiology)GA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineGA
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JAKE LEWES HAMBY (PA)?
JAKE LEWES HAMBY (PA) — NPI 1194596668 — is the standard way to identify this listing.
Is JAKE LEWES HAMBY (PA) still practicing?
JAKE LEWES HAMBY (PA) is currently listed as active in the public NPI registry.
What is JAKE LEWES HAMBY (PA)'s primary classification?
Physician Assistant is the headline specialty for JAKE LEWES HAMBY (PA) here. Clinical services aligned with this taxonomy classification.
Where is JAKE LEWES HAMBY (PA) based?
JAKE LEWES HAMBY (PA) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
Why does JAKE LEWES HAMBY (PA) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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