Active NPI
Gina Theriot Jory, NP
- Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP06049
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113101 | Medicaid | LA | |
| P00858048 | Other | LA | RAIL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 098182 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican State Outpatient Center - Caro Clinic L. L. C. | Current | Accepting new patients | |
| Hospice Foundation of Greater Baton Rouge | Current | Accepting new patients | |
| Cenla Family Medicine Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
| Caro Clinic, LLC | Past | 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
- gina.jory.1@15263.direct.athenahealth.com
- https://api.platform.athenahealth.com/15263/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Alexandria, LA
- NPI 1538397542
Nurse Practitioner
-
- Community Based Hospice Care Agency
- Baton Rouge, LA
- NPI 1689642589
-
- Primary Care Clinic/Center
- Gonzales, LA
- NPI 1467507913
-
- Primary Care Clinic/Center
- Gonzales, LA
- NPI 1356234900
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1275577603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.