Jenny Giles, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003727 Issued in MI

Practice address

4071 24TH Ave
Fort Gratiot, MI 48059-3801

Phone

(810) 824-4222

Fax

(810) 824-4220

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jenny Giles-Voss Other name

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Northpointe OB-GYN PC

  • Obstetrics & Gynecology Physician
  • Port Huron, MI
  • NPI 1629107628
  Medicare reassignment

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1457497471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 WASHINGTON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603555",
            "telephone_number": "810-985-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593801",
            "telephone_number": "810-824-4222",
            "fax_number": "810-824-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "JENNY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457497471",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "GILES-VOSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jodi A Gebstadt, RN
• Megan Nicole Geiser, PNP
• Jillian J Gembinski
• Denise R Gibson
• James Patrick Gilan, LMSW, MSW
• Ashley Glaza, FNP
• Nicole Glodich
• Shyla Rose Godsey
• Julia Marie Gouin
• Brandi Gourlay

• Physician Assistant in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.