Individual provider Active NPI

Jacob Gissy, MD

  • Anesthesiology Physician
  • Winter Park, FL
National Provider Identifier
1366805392
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME167970 Issued in FL
Practice address
1106 Palmer Ave
Winter Park, FL 32789-2661
Phone
(407) 375-3857
Fax
(407) 602-0864
NPI assigned
Mar 29, 2016
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME167970 FL Primary

Addresses

Primary practice location

1106 Palmer Ave
Winter Park, FL 32789-2661

Mailing address

1106 Palmer Ave
Winter Park, FL 32789-2661
Phone (407) 375-3857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516002823 FL Practitioner - Anesthesiology 2769752476 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Univ of Central Florida, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Guide Anesthesia FL LLCGroup PAC ID 5698273142, 32 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

95 Bulldog Blvd
Suite 104
Melbourne, FL 32901-3175
Phone (321) 729-9493

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Service Medical Group Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Emory Medical Care Foundation Inc Anesthesiology Current Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Guide Anesthesia FL LLC Anesthesiology CurrentSince Jan 19, 2026 Accepting new patients
Orlando Anesthesia Consultants PA Anesthesiology CurrentSince Jun 10, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 1, 2020 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Jan 26, 2026 Accepting new patients
Emory Medical Care Foundation Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Mohawk Surgery Center LLC Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3626 Ruffin Rd
San Diego, CA 92123
Phone (619) 565-9666

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

107 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-2812

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (321) 939-3300

7974 Lake Underhill Rd
Orlando, FL 32822
Phone (321) 710-9899

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1366805392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PALMER AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892661",
            "telephone_number": "407-375-3857",
            "fax_number": "407-602-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PALMER AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892661",
            "telephone_number": "407-375-3857",
            "fax_number": "407-602-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISSY",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME167970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.