JISMARIA ANTONY
NPI 1396581815
Student in an Organized Health Care Education/Training Program in Warner Robins, GA

Q: What is Jismaria Antony's NPI number?

The NPI number for Jismaria Antony is 1396581815. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Jismaria Antony's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jismaria Antony was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 03, 2024PECOS Enrolled

1601 WATSON BLVD, WARNER ROBINS, GA 31093(478) 975-6880 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Jul 3, 2024 (2 updates tracked since 2024).

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About Jismaria Antony NPPES

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

JISMARIA ANTONY (NPI 1396581815) is an individual student in an organized health care education/training program in Warner Robins, Georgia, licensed in Georgia (16648) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Warner Robins.

NPPES Registry Identity

NPI1396581815

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJISMARIA ANTONY

Location Address1601 WATSON BLVDWarner Robins, GA 31093-3431

Mailing Address1601 Watson BlvdWarner Robins, GA 31093-3431 · (478) 975-6880

Phone(478) 975-6880

Sole ProprietorYes

Enumeration DateJuly 3, 2024

Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1396581815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in GA · 16648

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1601 WATSON BLVD, Warner Robins, GA 31093

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Secondary Practice Location 1

Location 1233 N Houston Rd Ste 140EWarner Robins, GA 31093-3023 · Phone (478) 975-6880 · Fax (478) 975-6869

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jismaria Antony is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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. EDWARD (E.D.) DOUGLAS CULVERHOUSE MD

Anesthesiology (Pain Medicine)