JENNIFER M WOLFE M.-P.A.-C.
NPI 1104905710
Physician Assistant - Medical in Statesboro, GA

NPI Status: Active since November 03, 2006

Contact Information

16741 HIGHWAY 67 STE A
STATESBORO, GA
ZIP 30458
Phone: (912) 871-7890
Fax: (912) 871-7898

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About JENNIFER WOLFE

This page provides the complete NPI Profile along with additional information for Jennifer Wolfe, a primary care provider established in Statesboro, Georgia with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1104905710 assigned on November 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 004532 (GA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1104905710
Provider Name
JENNIFER M WOLFE M.-P.A.-C.
Other Name
JENNIFER M SMITH
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
16741 HIGHWAY 67 STE A STATESBORO, GA 30458
Location Phone
(912) 871-7890
Location Fax
(912) 871-7898
Mailing Address
16741 HIGHWAY 67 STE A STATESBORO, GA 30458
Mailing Phone
(912) 871-7890
Mailing Fax
(912) 871-7898
Is Sole Proprietor?
No
Enumeration Date
11-03-2006
Last Update Date
01-04-2011
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A primary care provider (PCP) like Jennifer Wolfe sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
004532
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q53812MEDICARE UPIN (02)GA 
97WCGXSMEDICARE ID-TYPE UNSPECIFIED (04)GA 
379987348BMEDICAID (05)GA 

Medicare Participation & PECOS Enrollment Status

Jennifer Wolfe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JENNIFER M WOLFE M.-P.A.-C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104905710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041801072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 0 + 1 + 0 + 7 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104905710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134900475 JULIE ELIZABETH SAPP FNP-BC
Individual
Nurse Practitioner16741 HIGHWAY 67 STE A
STATESBORO, GA 30458
(912) 623-2391

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104905710, enumerated in the NPI registry as an "individual" on November 03, 2006

The provider is located at 16741 Highway 67 Ste A Statesboro, Ga 30458 and the phone number is (912) 871-7890

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on November 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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