Individual Healthcare Provider
Justina Li Vega, PA-C
Provider's NPPES record last updated: January 6, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003558024
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Gainesville, Georgia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:06 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700XPhysician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Physician Assistant (Georgia)
- 11301
- Physician Assistant (Georgia)
- 11301
- Physician Assistant (Georgia)
- 11301
Practice Locations
Practice Location
743 Spring St Ne
Gainesville, Georgia 30501-3715
Phone: (770) 533-7288
Additional Practice Location
748 Old Norcross Rd Ste 100
Lawrenceville, Georgia 30046-3394
Phone: (770) 339-1500
Fax: (770) 339-3528
Additional Practice Location
1400 River Place
Braselton, Georgia 30517-5600
Phone: (770) 533-7288
Fax: (770) 533-6511
Record Information
- Enumeration Date
- April 11, 2022
- Provider's NPPES Record Last Updated
- January 6, 2026
- Certification Date
- January 6, 2026
- NPISignal NPPES Dataset
- August 2026
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