JUSTEN T DESPAIN DO - NPI 1740801125 - Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Justen Despain's NPI number?

The NPI number for Justen Despain is 1740801125. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Q: What is Justen Despain'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 Justen Despain was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Justen T Despain Do NPPES

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

JUSTEN T DESPAIN DO (NPI 1740801125) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740801125

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTEN T DESPAINCredential: DO

Location Address615 MICHAEL ST NE STE 205Atlanta, GA 30322-1047

Mailing Address615 Michael St Ne Ste 205Atlanta, GA 30322-1047 · (404) 712-2970

Phone(404) 712-2970

Sole ProprietorNo

Enumeration DateApril 27, 2020

Last NPPES UpdateMay 21, 20254 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1740801125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code390200000X

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 02006741A (IN)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 02006741A (IN)

615 MICHAEL ST NE STE 205, Atlanta, GA 30322

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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 (PECOS)

Justen T Despain Do 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 7

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

ALBAHI MALIK

Internal Medicine (Critical Care Medicine)