DR. JILL EDWARDS ATA D.M.D
NPI 1699901165
Dentist in Kissimmee, FL
About Dr. Jill Edwards Ata D.m.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JILL EDWARDS ATA D.M.D (NPI 1699901165) is an individual dentist in Kissimmee, Florida, licensed in Florida (DN18675) and active in the NPI registry since June 2009. She has opted out of Medicare through December 28, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jill Edwards Ata D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 28, 2015 through December 28, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jill Ata's NPI number?
The NPI number for Jill Ata is 1699901165. It was assigned to this individual provider in the NPPES registry on June 10, 2009.
Where is Jill Ata located?
Jill Ata practices at 3192 S John Young Pkwy Suite B, Kissimmee, FL 34746. The listed phone number is (407) 870-5151.
What is Jill Ata's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Jill Ata enrolled in Medicare?
No. Jill Ata has opted out of Medicare through December 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Jill Ata accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 5 other insurers list Jill Ata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jill Ata was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Jill Edwards Ata, D.M.D · NPI 1699901165
Dentist provider in Kissimmee, Florida. Individual provider, active in the CMS NPPES registry since June 10, 2009.
## Identity
- **NPI:** 1699901165 (Entity type: Individual)
- **Enumerated:** June 10, 2009
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** DN18675 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3192 S JOHN YOUNG PKWY, SUITE B, Kissimmee, FL 34746-8814
- **Phone:** (407) 870-5151 · **Fax:** (407) 870-2556
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 28, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** June 10, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1699901165) · Data from the CMS NPPES public registry.