Individual provider Active NPI

Chanel Wood, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1023544830
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME137496 Issued in FL
Practice address
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone
(904) 308-7300
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME137496 FL Primary

Addresses

Primary practice location

1 Shircliff Way
Jacksonville, FL 32204-4748

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice location 1

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwood393666@ehrdirect.mayoclinicmsg.org

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
I20220719003847 FL Practitioner - Diagnostic Radiology 5092085365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors McClow Clark and Berk PAGroup PAC ID 4587607577, 23 clinicians
Mayo Clinic JacksonvilleGroup PAC ID 5698689297, 1,595 clinicians

Practice addresses (Care Compare)

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (904) 308-1219

1726 Jeremiah St
Middleburg, FL 32068-8471
Phone (904) 388-6949

1800 Barrs St
Jacksonville, FL 32204-4704
Phone (904) 308-7300

205 Trinity Way
Saint Johns, FL 32259-1155
Phone (904) 308-7300

2345 Forbes St
Jacksonville, FL 32204-4311
Phone (904) 381-9994

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

6138 Kennerly Rd
Jacksonville, FL 32216-4393
Phone (904) 733-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as group
Quality
83.7
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Feb 2, 2026 Accepting new patients
Doctors McClow Clark & Berk PA Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients

Locations

2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

10503 San Jose Blvd
Ste 100
Jacksonville, FL 32257
Phone (904) 710-3195

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

6488 103rd St
Jacksonville, FL 32210
Phone (904) 450-6810

8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960

1786 Blanding Blvd
Ste K2
Middleburg, FL 32068

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

Interoperability endpoints

  • Direct secure messaging: cwood393666@ehrdirect.mayoclinicmsg.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1023544830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044748",
            "telephone_number": "904-308-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHANEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME137496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwood393666@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.