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

Individual provider Medical Physician Assistant · NPI 1003558024

Justina Li Vega, PA-C is a Physician Assistant in Gainesville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2022, 4 years ago. Practices with Georgialina Physical Therapy Associates LLC, a 429-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2022
Specialties on file
4
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

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 533-7288
Fax: (770) 534-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1400 River Place, Braselton, GA 30517-5600 — (770) 533-7288
  • 748 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3394 — (770) 339-1500

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11301 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 11301 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 11301 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003558024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Georgialina Physical Therapy Associates Llc — 429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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