JULIAN C GIST – Anesthesiologist Assistant, NPI 1669577144

JULIAN C GIST is a healthcare provider. based in Mcdonough, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. 1453 (GA). The NPI Number for JULIAN C GIST is 1669577144

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JULIAN C GIST
NPI
1669577144
Phone
(678) 289-6483
Address
136 SOUTHGATE BLVD
Enumeration Date
13 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8002421131
Graduation Year
2006 (20 years ago)
PAC ID
6709885221
Group Practice PAC ID
2163837972
Professional Enrollment ID
I20070705000389
Address ID
GA302815085ST1133XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

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Provider Addresses for JULIAN C GIST

  • 136 SOUTHGATE BLVD

    MCDONOUGH, GA 302538035

    Phone: (678) 289-6483

    Type: Mailing

  • Homegrown Orthodontics and Pediatric Dentistry, 405, Arrowhead Boulevard, Edgemoor Manor, Jonesboro, Clayton County, Georgia, 30236, United States

    JONESBORO, GA 302361254

    Phone: (770) 478-9877

    Fax: (770) 478-2908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Chiesi USA, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070705000389IAnesthesiology AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00910Anesthesia for other procedure on urinary system through urethra1211$0
View full utilization report →

Insurance plans in this area (ZIP 30253)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163837972View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantAL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

How do payers reference JULIAN C GIST?
For JULIAN C GIST, use NPI 1669577144 as the unique 10-digit identifier.
Would JULIAN C GIST appear as active to a payer?
You can treat JULIAN C GIST as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JULIAN C GIST?
At a glance, JULIAN C GIST is tied to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where in Georgia is JULIAN C GIST registered?
Use Mcdonough, Georgia as the headline location for JULIAN C GIST here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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