Individual provider Active NPI

Marilyn S Palcic, PA-C

  • Physician Assistant
  • Statesboro, GA
National Provider Identifier
1447216577
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006894 Issued in GA
Practice address
17007 Highway 67
Statesboro, GA 30458-2426
Phone
(912) 681-2500
Fax
(912) 681-2025
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006894 GA Primary
Physician Assistant 363A00000X 001006107 NC
Surgical Physician Assistant 363AS0400X 006894 GA

Addresses

Primary practice location

17007 Highway 67
Statesboro, GA 30458-2426

Mailing address

3466 Bowen Rd
Claxton, GA 30417-3468

Other identifiers 3

IdentifierTypeStateIssuer
1682PAMedicaidSC
003136938AMedicaidGA
P01224099OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130924000166 GA Practitioner - Physician Assistant 6305739335 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians
Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians
Chatham Orthopaedic Associates PAGroup PAC ID 8022910306, 55 clinicians
Evans Orthopedic Clinic LLCGroup PAC ID 5890153134, 3 clinicians

Practice addresses (Care Compare)

123 Canal St
Pooler, GA 31322-4104
Phone (912) 988-1283

17007 Hwy 67
Statesboro, GA 30458-2426
Phone (912) 681-2500

20 William Blakely Xing
Pooler, GA 31322-7043
Phone (912) 355-6615

310 N River St
Claxton, GA 30417-5920
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3637

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3663

4425 Paulsen St B
Savannah, GA 31405-3663
Phone (912) 355-6615

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

Merit-based Incentive Payment System (MIPS)

Final score
69.29 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
80.45

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001006107NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC CurrentSince Nov 1, 2025 Accepting new patients
Tattnall Hospital Company, LLC CurrentSince Nov 1, 2025 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince May 1, 2020 Accepting new patients
Optim Orthopedics, LLC CurrentSince Oct 13, 2025 Accepting new patients
Optim Orthopedics, LLC Current Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince May 1, 2020 Accepting new patients
Optim Orthopedics, LLC CurrentSince Oct 13, 2025 Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients
Chatham Orthopaedic Associates, PA Past Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Fl 2A
Savannah, GA 31405

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

209 Mims Rd
#A
Sylvania, GA 30467
Phone (912) 564-5236

Interoperability endpoints

  • Direct secure messaging: marilyn.palcic.1@16403.direct.athenahealth.com
  • Direct secure messaging: marilyn.palcic.1@18355.direct.athenahealth.com

Organizations & group practices 12

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1447216577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 BOWEN RD",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304173468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17007 HIGHWAY 67",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582426",
            "telephone_number": "912-681-2500",
            "fax_number": "912-681-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCIC",
        "first_name": "MARILYN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006894",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001006107",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "006894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1682PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136938A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01224099",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.