JESSICA LEE GENDERNALIK MD
NPI 1396208799
Internal Medicine - Geriatric Medicine in Newton, NC

Q: What is Jessica Gendernalik's NPI number?

The NPI number for Jessica Gendernalik is 1396208799. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Jessica Gendernalik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since April 11, 2019PECOS Enrolled

1915 FAIRGROVE CHURCH RD, NEWTON, NC 28658(828) 468-3980 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jun 4, 2025, Apr 11, 2019 (3 updates tracked since 2019).

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About Jessica Lee Gendernalik Md NPPES

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

JESSICA LEE GENDERNALIK MD (NPI 1396208799) is an individual geriatric medicine provider in Newton, North Carolina, licensed in North Carolina (2025-01052) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Savannah, and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1396208799

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameJESSICA LEE GENDERNALIKCredential: MD

Location Address1915 FAIRGROVE CHURCH RDNewton, NC 28658-8531

Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900

Phone(828) 468-3980

Sole ProprietorYes

Medical School CMSMercer University School Of MedicineGraduated 2019

Enumeration DateApril 11, 2019

Last NPPES UpdateMay 28, 20263 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1396208799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NC · 2025-01052

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1915 FAIRGROVE CHURCH RD, Newton, NC 28658

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Secondary Practice Location 1

Location 14700 Waters AveSavannah, GA 31404-6220 · Phone (912) 350-7573

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lee Gendernalik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496083446

PECOS Enrollment IDI20251002003717

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28658 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

MS. ALICE ELIZABETH DISCHIAVI OT

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