Individual provider Active NPI

Chadwick William Stouffer, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jacksonville, FL
National Provider Identifier
1073737656
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME116909 Issued in FL
Practice address
1824 King St Ste 200
Jacksonville, FL 32204-4736
Phone
(904) 384-3343
Fax
(904) 400-6671
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 74786 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 45800 TN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME116909 FL Primary

Addresses

Primary practice location

1824 King St Ste 200
Jacksonville, FL 32204-4736

Mailing address

1824 King St Ste 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chadwickstouffer@cvsapa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101115000729 TN Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 0244425304 Reassigns benefits to 1 organization
I20151104000619 GA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 0244425304 Reassigns benefits to 3 organizations
I20240501002155 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0244425304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

836 Prudential Dr
Suite 1804
Jacksonville, FL 32207-8345
Phone (904) 398-3888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)37
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74786GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
45800TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Jan 7, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince May 1, 2017 Accepting new patients
The Emory Clinic Inc CurrentSince May 1, 2017 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince May 1, 2017 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2024 Accepting new patients

Locations

332 Medcrest Dr
Crestview, FL 32536
Phone (850) 226-7322

4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990

3575 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 332-6339

836 Prudential Dr
Ste 1804
Jacksonville, FL 32207
Phone (904) 398-3888

8767 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (704) 542-2256

6820 Southpoint Pkwy
Ste 1
Jacksonville, FL 32216
Phone (904) 289-9600

3627 University Blvd S
Ste 135
Jacksonville, FL 32216
Phone (904) 398-8147

1000 Riverside Ave
Ste 200
Jacksonville, FL 32204
Phone (904) 388-7521

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

5970 Berryhill Rd
Milton, FL 32570

1893 Kingsley Ave
Ste A
Orange Park, FL 32073
Phone (904) 272-8080

1677 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 276-2303

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

13000 Sawgrass Village Cir
Ste 32
Ponte Vedra Beach, FL 32082
Phone (904) 394-5347

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

Interoperability endpoints

  • Direct secure messaging: chadwickstouffer@cvsapa.allscriptsdirect.net

Organizations & group practices 6

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 7

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1073737656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 KING ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044736",
            "telephone_number": "904-384-3343",
            "fax_number": "904-400-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 KING ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044736",
            "telephone_number": "904-384-3343",
            "fax_number": "904-400-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUFFER",
        "first_name": "CHADWICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "74786",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "45800",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME116909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chadwickstouffer@cvsapa.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1824 King St Ste 200",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322044736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.