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

Jahzeel Paguntalan, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1407630437

Jahzeel Paguntalan, PHYSICIANASSISTANT is a Physician Assistant in Conyers, Georgia. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2023, 3 years ago. Practices with Aylo Health, LLC, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

1101 Nor Tec Dr
Conyers, GA 30013-5832
Phone: (678) 374-7514
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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 12224 (GA)

Record details

NPI number1407630437
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESNovember 25, 2024
Certification dateNovember 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2023 (3 years in practice)
Group practice Aylo Health, Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Conyers