Individual provider Active NPI

Jessica Wesmiller Prentice, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1437677234
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10530 Issued in GA
Practice address
5356 Reynolds St Ste 505
Savannah, GA 31405-6017
Phone
(912) 356-1515
Fax
(912) 644-0755
NPI assigned
Sep 1, 2017
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1307 NH
Physician Assistant 363A00000X 10530 GA Primary

Addresses

Primary practice location

5356 Reynolds St Ste 505
Savannah, GA 31405-6017

Mailing address

St. Joseph's/ Candler- Managed Care Dept
836 E 65TH Street, Ste 22
Savannah, GA 31405-0001
Phone (128) 192-6229

Other identifiers 1

IdentifierTypeStateIssuer
10530OtherGASTATE MEDICAL BOARD

Other names 1

  • Jessica Ann Wesmiller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171030001771 NH Practitioner - Physician Assistant 2860768298 Reassigns benefits to 2 organizations
I20211011002169 GA Practitioner - Physician Assistant 2860768298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Candler ENT Practice LLCGroup PAC ID 7214157742, 7 clinicians

Practice addresses (Care Compare)

5356 Reynolds St
Suite 505
Savannah, GA 31405-6017
Phone (912) 356-1515

836 E 65TH St
Suite 20
Savannah, GA 31405-4913

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 23, 2017 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 23, 2017 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 23, 2017 Accepting new patients
Georgia Ear Associates PC Past Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: wesmillerj@direct.sjchs.org
  • Direct secure messaging: jwesmiller@gent2091.srs-direct.com

Organizations & group practices 5

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1437677234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. JOSEPH'S/ CANDLER- MANAGED CARE DEPT",
            "address_2": "836 E 65TH STREET, STE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314050001",
            "telephone_number": "128-192-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST STE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056017",
            "telephone_number": "912-356-1515",
            "fax_number": "912-644-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "JESSICA",
        "middle_name": "WESMILLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1307",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD",
            "identifier": "10530",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WESMILLER",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.