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

Jeremy Kent Wu, CERTIFIEDPA

Individual provider Surgical Physician Assistant · NPI 1508496845

Jeremy Kent Wu, CERTIFIEDPA is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2018, 8 years ago. Practices with Georgia Urology, PA, a 100-clinician group and accepts Medicare assignment. Licensed in Georgia, Maine, Ohio and South Carolina.

Years since qualifying
8
Licensed in
GA, ME, OH, SC
In the registry since
2020
Specialties on file
4

Practice location Address checks out

850 Lawrenceville Suwanee Rd Ste 101
Lawrenceville, GA 30043-5483
Phone: (770) 963-2451
Fax: (770) 962-0017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12810 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.006024 (OH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2032 (ME)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4084 (SC)

Record details

NPI number1508496845
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFIEDPA
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 7, 2025

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 Georgia Urology, Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lawrenceville