Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Elizabeth Tizol-Urena, PAC

Individual provider Physician Assistant · NPI 1083303226

Jacqueline Elizabeth Tizol-Urena, PAC is a Physician Assistant in Lawrenceville, Georgia. Graduated from Morehouse School of Medicine in 2024, 2 years ago. Practices with Aga, LLC, a 135-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2023
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

301 Philip Blvd Ste A
Lawrenceville, GA 30046-8746
Phone: (770) 822-5560
Fax: (770) 822-4989
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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 12955 (GA)

Record details

NPI number1083303226
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Aga, Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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