Anna Summerlin Justi, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107108 Issued in FL

Practice address

1210 Brookstone Centre Pkwy
Columbus, GA 31904-2954

Phone

(706) 550-7228

Fax

(706) 322-1718

NPI assigned

Sep 4, 2007

Last updated

Dec 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane Dermatology and Dermatologic Surgery LLCGroup PAC ID 7719072941, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.42 of 100Reported as group

Quality

82.18

Improvement activities

40

Cost

65.18

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Lane Dermatology & Dermatologic Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Columbus, GA
  • NPI 1437363587
  Medicare reassignment Care Compare group
• Vascular Associates LLC

  • Specialist
  • Panama City, FL
  • NPI 1821129313
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1164616025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "706-550-7228",
            "fax_number": "706-322-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "706-550-7228",
            "fax_number": "706-322-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTI",
        "first_name": "ANNA",
        "middle_name": "SUMMERLIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5121",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loyita Josey
• Janice Lynn Joyce, DDS
• Jscott Care Services
• Jscott Placement Agency, LLC
• Maliha Iqbal Jumani, M.D.
• Christian Courtney Justice
• Alissa K C, MD
• K. Schoeff, DO, PC
• K&J Assisted Living
• Amanda Kahmann, M.S., CCC-SLP

• Physician Assistant in Columbus, GA
• Providers in Columbus, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.