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

Justin Gill

Individual provider Physician Assistant · NPI 1952191322

Justin Gill is a Physician Assistant in Newark, Ohio. Qualified in 2025, 1 year ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025

Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4151
Fax: (220) 564-7153
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009817RX (OH)

Record details

NPI number1952191322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address1320 W Main St, Newark, OH 43055-1822

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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