Individual provider Active NPI

Gina Brigitte Justis, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Orlando, FL
National Provider Identifier
1023113537
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME130757 Issued in FL
Practice address
5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777
Phone
(407) 658-4616
Fax
(407) 658-4617
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101045542 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X ME130757 FL Primary

Addresses

Primary practice location

5425 S Semoran Blvd Ste 11
Orlando, FL 32822-1777

Mailing address

1785 Saboff Way
Chuluota, FL 32766-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME130757FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Orlando Pain Management Center LLC PastSince Jan 15, 2023 Accepting new patients
James River Anesthesia Assoc., Inc Anesthesiology Past Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1023113537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 SABOFF WAY",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327668811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 S SEMORAN BLVD STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221777",
            "telephone_number": "407-658-4616",
            "fax_number": "407-658-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTIS",
        "first_name": "GINA",
        "middle_name": "BRIGITTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101045542",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME130757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.