DR. JOSE R JUSTINIANO-AYALA (NPI# 1831163898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831163898 |
| Entity Type | Individual |
| Full Name | DR. JOSE R JUSTINIANO-AYALA |
| Credential | MD |
| Practice Address |
205 Jenkins Rd Rossville GA 30741 |
| Mailing Address |
13570 N Main St Trenton GA 30752-2012 |
| Practice Telephone | 7068665520 |
| Practice Fax Number | 7068665502 |
| Mailing Telephone | 7068665520 |
| Mailing Fax Number | 7068665502 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 46773 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE OSCAR/CERTIFICATION | 111985 | 01 |
| GA | 003147280A | 05 | |
| GA | 003138289A | 05 | |
| GA | MEDICARE OSCAR/CERTIFICATION | 111028 | 01 |
| GA | MEDICARE/OSCAR/CERTIFICATION | 111982 | 01 |
| GA | 000211956A | 05 | |
| GA | 003151883A | 05 | |
| GA | 000211956C | 05 |
| Street Address |
205 JENKINS RD |
| City | ROSSVILLE |
| State | GA |
| Zip Code | 30741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013488337 | Douglas Goodwin | Nurse Practitioner | 205 Jenkins Rd, Rossville, GA 30741-4016 | 2018-12-14 |
| 1093281248 | Melissa A York | Nurse Practitioner | 205 Jenkins Rd, Rossville, GA 30741-4016 | 2018-10-15 |
| 1447600044 | Haley Catanzarito | Social Worker | 205 Jenkins Rd, Rossville, GA 30741-4016 | 2016-06-15 |
| 1578885539 | Walker County Bd of Education | Local Education Agency (LEA) | 205 Jenkins Rd, Rossville, GA 30741-4016 | 2010-02-18 |
| 1235389230 | Michael Robert Mccoy | Internal Medicine | 205 Jenkins Rd, Rossville, GA 30741 | 2008-09-25 |
| 1750568804 | Steven Joe Bradley | Family Medicine | 205 Jenkins Rd, Rossville, GA 30741-4016 | 2008-01-30 |
| 1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881084549 | Bi-lo Pharmacy | Pharmacy | 820 Misson Ridge Road, Rossville, GA 30741 | 2015-02-02 |
| 1013194943 | Kathleen Marie Powell | Physical Therapist | 1425 Mc Farland Ave, Rossville, GA 30741 | 2008-01-22 |
| 1871668020 | Jerry Vance Grimmitt | Pharmacist | 785 Chickamauga Av, Longley Pharmacy, Rossville, GA 30741 | 2006-11-22 |
| 1962677633 | Lookout Mountain Community Service | Community/Behavioral Health | 405 Glenn Wade Dr, Rossville, GA 30741-1176 | 2008-04-24 |
| 1033142930 | Robert Alan Stultz | Physician Assistant | 118 Howard St, Rossville, GA 30741-1314 | 2006-07-07 |
| 1902950462 | Leisha Harrell Espy | Chiropractor | 100 E Gordon Ave, Rossville, GA 30741-1318 | 2007-01-22 |
| 1073687596 | Rocky Top Pharmacy Inc | Pharmacy | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2006-11-17 |
| 1578088977 | Daniel Garrett | Pharmacist | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2017-08-07 |
| 1235668328 | Rossville Worx LLC | Pharmacy | 785 Chickamauga Ave, Rossville, GA 30741-1404 | 2017-06-12 |
| 1083836860 | Cinderella Wigs Inc | Prosthetic/Orthotic Supplier | 801 Chickamauga Ave, Rossville, GA 30741-1406 | 2007-05-02 |
| Find all providers in zip 30741 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902071665 | Unity Healthcare, LLC | Family Medicine | 5450 W State Road 26, Suite 300, Rossville, IN 46065-9542 | 2008-04-24 |
| 1942324470 | Latanya Asenath Simpson | Family Medicine | 4940 Highway 57, Rossville, TN 38066-5068 | 2007-03-19 |
| 1174690721 | International Cancer Foundation | Family Medicine | 1989 N Highway 341, Rossville, GA 30741-6204 | 2006-11-29 |
| 1750568804 | Steven Joe Bradley | Family Medicine | 205 Jenkins Rd, Rossville, GA 30741-4016 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.