JASON JUSTICE
NPI 1417417361
Student in an Organized Health Care Education/Training Program in Charleston, WV
About Jason Justice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON JUSTICE (NPI 1417417361) is an individual student in an organized health care education/training program in Charleston, West Virginia, licensed in West Virginia (ED1254) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Prestonsburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jason Justice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Justice's NPI number?
The NPI number for Jason Justice is 1417417361. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Jason Justice located?
Jason Justice practices at 3100 Maccorkle Ave SE Ste 700, Charleston, WV 25304. The listed phone number is (304) 351-1500.
What is Jason Justice's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jason Justice enrolled in Medicare?
Yes. Jason Justice is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jason Justice was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Jason Justice · NPI 1417417361
Student in an Organized Health Care Education/Training Program provider in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1417417361 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** ED1254 (West Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3100 MACCORKLE AVE SE STE 700, Charleston, WV 25304-1230
- **Phone:** (304) 351-1500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417417361) · Data from the CMS NPPES public registry.