Active NPI
Gina Brigitte Justis, M.D.
- Pain Medicine (Anesthesiology) Physician
- Orlando, FL
National Provider Identifier
1023113537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME130757
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME130757 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Orlando Pain Management Center LLC | Past | 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.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Addiction Medicine (Family Medicine) Physician
- Orlando, FL
- NPI 1659214625
-
- Anesthesiology Physician
- Newport News, VA
- NPI 1982632980
-
- Anesthesiology Physician
- Newport News, VA
- NPI 1760417281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.