Individual provider Active NPI

Gina Theriot Jory, NP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1104149905
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06049 Issued in LA
Practice address
4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone
(877) 870-1775
Fax
(614) 968-8840
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06049 LA Primary
Nurse Practitioner 363L00000X RN 098182 LA

Addresses

Primary practice location

4200 Regent St Ste 200
Columbus, OH 43219-6229

Mailing address

4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone (225) 223-2778

Other identifiers 2

IdentifierTypeStateIssuer
2113101MedicaidLA
P00858048OtherLARAIL ROAD MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826001278 LA Practitioner - Nurse Practitioner 0648394619 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 098182LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican State Outpatient Center - Caro Clinic L. L. C. CurrentSince Aug 15, 2019 Accepting new patients
Hospice Foundation of Greater Baton Rouge CurrentSince Jan 1, 2026 Accepting new patients
Cenla Family Medicine Associates, LLC Nurse Practitioner CurrentSince Mar 8, 2022 Accepting new patients
Caro Clinic, LLC PastSince Jun 8, 2025 Accepting new patients
Our Lady of the Lake Hospital Inc Past Accepting new patients

Locations

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8000 Summa Ave
Baton Rouge, LA 70809
Phone (225) 766-0130

333 E Worthy St
Gonzales, LA 70737
Phone (225) 450-2775

2304 S Burnside Ave
Ste 2
Gonzales, LA 70737
Phone (225) 647-6533

4242 Highway 1192
Ofc
Marksville, LA 71351
Phone (318) 445-9823

Interoperability endpoints

  • Direct secure messaging: gina.jory.1@15263.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15263/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDCAA

Organizations & group practices 5

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1104149905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "225-223-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "877-870-1775",
            "fax_number": "614-968-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORY",
        "first_name": "GINA",
        "middle_name": "THERIOT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06049",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN 098182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113101",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE #",
            "identifier": "P00858048",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.