Active NPI
Jeffrey Gadison Jr.
- Community Health Worker
- Columbus, OH
National Provider Identifier
1659108017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- TS957327
- Practice address
- 491 Georgesville Rd
Columbus, OH 43228-2420 - Phone
- (614) 618-5000
- NPI assigned
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | TS957327 | OH | Primary |
Addresses
Primary practice location
491 Georgesville Rd
Columbus, OH 43228-2420
Mailing address
7031 Treebourne Dr
Reynoldsburg, OH 43068-1537
Phone (614) 202-0585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TS957327 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1659108017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7031 TREEBOURNE DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681537",
"telephone_number": "614-202-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 GEORGESVILLE RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432282420",
"telephone_number": "614-618-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADISON",
"first_name": "JEFFREY",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "TS957327",
"primary": true
}
],
"identifiers": [],
"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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.