Active NPI
Jennifer Ann Georgia, P.A.
- Medical Physician Assistant
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601007054
- Practice address
- 2300 Haggerty Rd
Ste 1110
West Bloomfield, MI 48323 - Phone
- (248) 669-2000
- Fax
- (248) 669-2110
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601007054 | MI | |
| Medical Physician Assistant | 363AM0700X | 5601007054 | MI | Primary |
Addresses
Primary practice location
2300 Haggerty Rd
Ste 1110
West Bloomfield, MI 48323
Mailing address
2300 Haggerty Rd
Ste 1110
West Bloomfield, MI 48323
Phone (248) 669-2000
Other practice location 1
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550
Other practice location 2
45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400
Other names 1
- Jennifer Ann Gilbert (Maident)
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.georgia.1@9974.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.11 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601007054 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Orthopaedic Surgeons, PLLC | Current | Accepting new patients | |
| Michigan Orthopaedic Surgeons PLLC | Past | Accepting new patients |
Locations
17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920
45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400
Interoperability endpoints
- jgeorgia1129851@direct.hfhs.org
- jgeorgia@direct.lkorthopedics.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Southfield, MI
- NPI 1306394309
-
- Durable Medical Equipment & Medical Supplies
- Shelby Township, MI
- NPI 1730838467
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1841580180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"address_2": "STE 1110",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-669-2000",
"fax_number": "248-669-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD",
"address_2": "STE 1110",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-669-2000",
"fax_number": "248-669-2110"
}
],
"practiceLocations": [
{
"address_1": "30575 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480730980",
"country_code": "US",
"telephone_number": "248-280-8550",
"fax_number": "844-266-0093",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45816 Schoenherr Rd",
"address_purpose": "LOCATION",
"city": "Shelby Twp",
"state": "MI",
"postal_code": "483156028",
"country_code": "US",
"telephone_number": "586-842-2400",
"fax_number": "833-561-1976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGIA",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601007054",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601007054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.georgia.1@9974.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "30575 Woodward Ave",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480730980",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GILBERT (MAIDENT)",
"middle_name": "ANN",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.