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

Ninoska M Gutierrez, PAC

Individual provider Physician Assistant · NPI 1053757740

Ninoska M Gutierrez, PAC is a Physician Assistant in Brunswick, Georgia. Qualified in 2022, 4 years ago. Practices with Aga, LLC, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2013
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2500 Starling St Ste 506
Brunswick, GA 31520-4270
Phone: (912) 265-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Towne Center Blvd Ste 701, Pooler, GA 31322-4063 — (912) 303-4200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11036 (GA)

Record details

NPI number1053757740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 21, 2013
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aga, Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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