Individual provider Active NPI

Jeffrey Villars, PA-C

  • Medical Physician Assistant
  • Lynn Haven, FL
National Provider Identifier
1538618137
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5714 Issued in SC
Practice address
1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone
(850) 571-5844
Fax
(850) 571-5845
NPI assigned
Sep 25, 2016
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109754 FL
Medical Physician Assistant 363AM0700X 5601010098 MI
Medical Physician Assistant 363AM0700X 5714 SC Primary

Addresses

Primary practice location

1702 Ohio Ave
Lynn Haven, FL 32444-4290

Mailing address

1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone (850) 571-5844

Other practice location 1

1615 Sandifer Blvd
Seneca, SC 29678-0905
Phone (864) 920-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250311002563 SC Practitioner - Physician Assistant 4981986742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed Urgent Care LLCGroup PAC ID 1759819261, 13 clinicians

Practice addresses (Care Compare)

801 N Fant St
Anderson, SC 29621-5707
Phone (864) 642-3777

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9109754FLMDMedical Physician Assistant
5601010098MIMDMedical Physician Assistant
5714SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Urgent Care LLC CurrentSince Oct 11, 2025 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

801 N Fant St
Anderson, SC 29621
Phone (864) 261-8000

885 Tiger Blvd
Bldg A
Clemson, SC 29631
Phone (864) 642-3767

1607 Laurens Rd
Ste 112
Greenville, SC 29607
Phone (864) 807-9020

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": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1538618137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-571-5844",
            "fax_number": "850-571-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-571-5844",
            "fax_number": "850-571-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Sandifer Blvd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296780905",
            "country_code": "US",
            "telephone_number": "864-920-7910",
            "fax_number": "864-920-7912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARS",
        "first_name": "JEFFREY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109754",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010098",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "5714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.