JESSICA LYNN HART (PA C) – Physician Assistant, NPI 1902871965

JESSICA LYNN HART (PA C) is a healthcare provider. based in Tifton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 003928 (GA). The NPI Number for JESSICA LYNN HART (PA C) is 1902871965

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN HART (PA C)
NPI
1902871965
Phone
(229) 391-3320
Address
907 18TH ST E
Enumeration Date
22 February 2006
Last Update Date
17 November 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2292763100
Graduation Year
2002 (24 years ago)
PAC ID
5991997959
Group Practice PAC ID
5991616336
Professional Enrollment ID
I20101008000276
Address ID
GA310153234CO902XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for JESSICA LYNN HART (PA C)

  • 18th Street East, Tifton, Tift County, Georgia, 31794, United States

    SUITE 490

    TIFTON, GA 317943643

    Phone: (229) 391-3320

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,225.

Total Amount is formed as General ($1,225) + Research ($0) + Ownership ($0) = $1,225.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($329).

Total Amount

$1,225

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2010-10-08

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
I20101008000276IPhysician 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
11042Removal of skin and tissue, 20.0 sq cm or less27173$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less12219$0
99213Established patient office or other outpatient visit, 20-29 minutes11952$0
99214Established patient office or other outpatient visit, 30-39 minutes10240$0
99212Established patient office or other outpatient visit, 10-19 minutes6838$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 5991616336View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
General SurgeryGA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA LYNN HART (PA C)?
NPI 1902871965 is assigned to JESSICA LYNN HART (PA C) under the national enumeration system.
Is JESSICA LYNN HART (PA C)'s NPI currently valid?
The extract we use shows JESSICA LYNN HART (PA C) as active.
What field does JESSICA LYNN HART (PA C) work in?
You can think of JESSICA LYNN HART (PA C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is JESSICA LYNN HART (PA C)'s primary listing?
We display Tifton, Georgia because that is what the record indicates for JESSICA LYNN HART (PA C).
What if Tifton, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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