Joshua Robert Pacut, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004793 Issued in GA

Practice address

8816 US Highway 301
Claxton, GA 30417-5428

Phone

(912) 739-3019

NPI assigned

Jul 5, 2006

Last updated

Feb 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD/Endpoint/JEEICD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montgomery Emergency Group, LLC

  • Emergency Medicine Physician
  • Vidalia, GA
  • NPI 1861773764
  Medicare reassignment
• Wayne Emergency Group LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1982828943
  Medicare reassignment
• Jesup Emergency Services, LLC

  • Emergency Medicine Physician
  • Jesup, GA
  • NPI 1699733832

  Medical

  NPD (past)
• Memorial Health Urgentone, Inc.

  dba UrgentOne Savannah Mall

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1801818844
  NPD (past)
• Premise Health of Georgia Medical PC

  dba Claxton Poultry Wellness Center

  • Primary Care Clinic/Center
  • Claxton, GA
  • NPI 1770062853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1023049681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 CROSSWINDS DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245398",
            "telephone_number": "912-756-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 US HIGHWAY 301",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304175428",
            "telephone_number": "912-739-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACUT",
        "first_name": "JOSHUA",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edaliz O'Bear, M.ED, BCBA
• Nathaniel Ryan O'Bear, DBA, BCBA
• Optim Orthopedics, LLC
• Optim Orthopedics, LLC (Optim Orthopedics)
• Orthopedic Center PC (Optim Orthopedics)
• Hugh Kyle Parks, M.D.
• Ryan W Piche, OD
• Platinum Anesthesia Coastal, LLC
• Tayler Leeann Poole
• Premise Health of Georgia Medical PC (Claxton Poultry Wellness Center)

• Medical Physician Assistant in Claxton, GA
• Providers in Claxton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.