Organization Active NPI

Jesnasublett, PLLC

  • Neurological Surgery Physician
  • Deland, FL
National Provider Identifier
1881489680
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
JESNASUBLETT, PLLC
Practice address
1431 Orange Camp Rd Ste 115
Deland, FL 32724-7770
Phone
(386) 222-2792
Fax
(386) 478-4905
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Authorized official

Name
Jesna Susan Mathew Sublett, MBBSNPI 1639460827
Title
Owner
Phone
(386) 222-2792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

1431 Orange Camp Rd Ste 115
Deland, FL 32724-7770

Mailing address

1431 Orange Camp Rd Ste 115
Deland, FL 32724-7770
Phone (386) 222-2792

Other names 1

  • Florida Spine Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522000961 FL Part B Supplier - Clinic/Group Practice 4981123957 Receives reassigned benefits from 1 practitioner
Practice locations: Deland, FL

National Provider Directory

National Provider Directory

Locations

978 International Pkwy
Ste 1440
Lake Mary, FL 32746
Phone (407) 391-3131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747526400000",
    "number": "1881489680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD STE 115",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247770",
            "telephone_number": "386-222-2792",
            "fax_number": "386-478-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 ORANGE CAMP RD STE 115",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247770",
            "telephone_number": "386-222-2792",
            "fax_number": "386-478-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESNASUBLETT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "SUBLETT",
        "authorized_official_first_name": "JESNA",
        "authorized_official_middle_name": "SUSAN MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-222-2792",
        "authorized_official_credential": "MBBS"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Spine Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Spine Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.