Active NPI
Jeffrey Villars, PA-C
- Medical Physician Assistant
- Lynn Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5714
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109754 | FL | MD | Medical Physician Assistant |
| 5601010098 | MI | MD | Medical Physician Assistant |
| 5714 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Urgent Care LLC | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | 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.
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
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
- Amber Lynn Thomas, FNP-C
- Suzannah Thompson
- Total Renal Care, Inc. (Lynn Haven Dialysis)
- United Seating and Mobility LLC (Numotion)
- Hattie Vandergriff
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1032)
- Wal-Mart Stores East, LP (Vision Center 30-1032)
- Walgreen Co (Walgreens #04847)
- Julie Walker
- Linzie L Walker III, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.