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

Jenise Marie Santos, PA-C

Individual provider Physician Assistant · NPI 1760966535

Jenise Marie Santos, PA-C is a Physician Assistant in Columbus, Georgia. Qualified in 2018, 8 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
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

1150 Brookstone Centre Pkwy
Columbus, GA 31904-4577
Phone: (706) 257-4189
Fax: (706) 257-4194
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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 8952 (GA)

Record details

NPI number1760966535
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESOctober 25, 2023
Certification dateJanuary 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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