Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Venturelli, PA

Individual provider Physician Assistant · NPI 1376208033

Autumn Venturelli, PA is a Physician Assistant in Statesboro, Georgia. Qualified in 2022, 4 years ago. Practices with Aga Professional Services LLC, a 173-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19 Coach Lee Hill Blvd
Statesboro, GA 30458-4700
Phone: (912) 662-6501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11025 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376208033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2021
Last updated in NPPESJanuary 28, 2023
Certification dateJanuary 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aga Professional Services Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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