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MR. JASON R. DIMONDA PAAA
NPI 1205188737
Anesthesiologist Assistant in Lawrenceville, GA

Active since October 08, 2012Accepts Medicare Assignment
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(770) 277-3056(855) 204-5244 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jason R. Dimonda Paaa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JASON R. DIMONDA PAAA (NPI 1205188737) is an individual anesthesiologist assistant in Lawrenceville, Georgia, licensed in Georgia (006600) and active in the NPI registry since October 2012. He is affiliated with Northside Hospital Gwinnett and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205188737
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. JASON R. DIMONDACredential: PAAA
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569
Phone(770) 277-3056
Fax(855) 204-5244
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 8, 2012
Last NPPES UpdateMarch 3, 2014
✔ NPI 1205188737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses✔ Licensed in GA · 006600✔ Licensed in GA · 6600
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jason R. Dimonda Paaa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143453522
PECOS Enrollment IDI20140509001184

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT E BLACK III MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
HEATHER GAIL KOTULA PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-9905
MR. THOMAS J GLANCY PA-AA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
MS. ANDREA PEYTON MOE PA
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4357
MRS. KATHERINE ELAINE CAMPBELL THOMAS NP
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County No phone listed
SOLOMON GEZAHGN ABEBE
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (229) 299-7476
VEER PATEL
Student in an Organized Health Care Education/Training Program
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-1000
CHINWE OGBODO
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Dimonda's NPI number?

The NPI number for Jason Dimonda is 1205188737. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Jason Dimonda located?

Jason Dimonda practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (770) 277-3056.

What is Jason Dimonda's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jason Dimonda enrolled in Medicare?

Yes. Jason Dimonda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jason Dimonda affiliated with any hospitals?

According to CMS data, Jason Dimonda is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Jason Dimonda was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.