Individual provider Active NPI

Jade Hilliard

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1407513369
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007868RX Issued in OH
Practice address
4900 Gettysburg Rd
Columbus, OH 43220-2520
Phone
(614) 442-1012
Fax
(614) 442-7726
NPI assigned
Nov 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007868RX OH Primary

Addresses

Primary practice location

4900 Gettysburg Rd
Columbus, OH 43220-2520

Mailing address

4900 Gettysburg Rd
Columbus, OH 43220-2520
Phone (614) 442-1012

Other names 1

  • Jade Hawkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250813002021 OH Practitioner - Physician Assistant 5395130751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Dermatology IncGroup PAC ID 2466589080, 3 clinicians

Practice addresses (Care Compare)

4900 Gettysburg Rd
Columbus, OH 43220-2520
Phone (614) 442-1012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Ohio Dermatology PastSince Nov 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1407513369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 GETTYSBURG RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202520",
            "telephone_number": "614-442-1012",
            "fax_number": "614-442-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 GETTYSBURG RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202520",
            "telephone_number": "614-442-1012",
            "fax_number": "614-442-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007868RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "HAWKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.