Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jared Devirgilis, PA-C

Individual provider Surgical Physician Assistant · NPI 1548719065

Jared Devirgilis, PA-C is a Physician Assistant in Bradenton, Florida. Qualified in 2016, 10 years ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

206 2nd St E
Bradenton, FL 34208-1042
Phone: (941) 746-5111
Fax: (941) 745-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1895 Kingsley Ave Ste 300, Orange Park, FL 32073-4453 — (904) 263-5557

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA 9109796 (FL)

Record details

NPI number1548719065
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 26, 2016
Last updated in NPPESMay 21, 2019
Mailing address367 S. Gulph Rd, Attn: Ipm Credentialing, King Of Prussia, PA 19406-3121

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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