Individual provider Active NPI

Girija Chandran, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1023058682
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 87060 Issued in FL
Practice address
12303 San Jose Blvd
Jacksonville, FL 32223-2640
Phone
(904) 223-2330
Fax
(904) 223-3149
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 87060 FL Primary

Addresses

Primary practice location

12303 San Jose Blvd
Jacksonville, FL 32223-2640

Mailing address

8711 Perimeter Park Blvd
Suite 6
Jacksonville, FL 32216-6388
Phone (904) 223-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000711 FL Practitioner - Family Practice 8426017377 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians

Practice addresses (Care Compare)

151 Pine Lake Dr
Suite B
Ponte Vedra, FL 32081-5182
Phone (904) 543-3677

2095 US Hwy 1 S
Carespot Express Healthcare
St Augustine, FL 32086-6000
Phone (615) 600-4074

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone (904) 642-0337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 87060FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Jul 31, 2007 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Feb 9, 2011 Accepting new patients
Solantic/South Florida, LLC CurrentSince Feb 9, 2011 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Feb 9, 2011 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Solantic LLC Past Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

12303 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 288-0277

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121

8711 Perimeter Park Blvd
Ste 6
Jacksonville, FL 32216
Phone (904) 223-2320

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1023058682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 PERIMETER PARK BLVD",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166388",
            "telephone_number": "904-223-2330",
            "fax_number": "904-223-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232640",
            "telephone_number": "904-223-2330",
            "fax_number": "904-223-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "GIRIJA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 87060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.