Individual provider Active NPI

Jennifer Ann Georgia, P.A.

  • Medical Physician Assistant
  • West Bloomfield, MI
National Provider Identifier
1841580180
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007054 Issued in MI
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

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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) Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001748 MI Practitioner - Physician Assistant 1850561960 Reassigns benefits to 1 organization

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
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007054MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC CurrentSince Sep 30, 2025 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 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

  • Direct secure messaging: jgeorgia1129851@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.