Active NPI
Christy M Chong, ARNP
- Family Nurse Practitioner
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9229375
- Practice address
- 1851 Old Moultrie Rd Ste a
Saint Augustine, FL 32084-4167 - Phone
- (904) 824-8088
- Fax
- (904) 826-4105
- NPI assigned
- Apr 24, 2016
- Last updated
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9229375 | FL | Primary |
Addresses
Primary practice location
1851 Old Moultrie Rd Ste a
Saint Augustine, FL 32084-4167
Mailing address
1851 Old Moultrie Rd Ste a
Saint Augustine, FL 32084-4167
Phone (904) 824-8088
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1851 Old Moultrie Rd a
Saint Augustine, FL 32084-4167
Phone (904) 824-8088
4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300
5851 State Hwy 100 E B
Adventist Health Primary Care and Palm Coast
Palm Coast, FL 32164-2448
Phone (386) 246-8115
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9229375 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/Sunbelt, Inc | Family | Current | Accepting new patients |
| Adventist Health System Sunbelt Inc | Family | Current | Accepting new patients |
| Bruce H Paley PA | Current | Accepting new patients | |
| James F Connor PA | Current | Accepting new patients | |
| Paul D Jayachandra M D P a | Past | Accepting new patients |
Locations
1851 Old Moultrie Rd
Ste A
St Augustine, FL 32084
Phone (904) 824-8088
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBHJBA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Primary Care Plus
- Family Medicine Physician
- Winter Garden, FL
- NPI 1427296730
-
- Family Medicine Physician
- St Augustine, FL
- NPI 1841211018
-
dba AdventHealth Total Health Management Primary Care Plus - Windermere
- Family Medicine Physician
- Windermere, FL
- NPI 1275297293
-
- Dermatology Physician
- St Augustine, FL
- NPI 1437568482
-
- Specialist
- St Augustine, FL
- NPI 1295870830
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1104271444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 OLD MOULTRIE RD STE A",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320844167",
"telephone_number": "904-824-8088",
"fax_number": "904-826-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 OLD MOULTRIE RD STE A",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320844167",
"telephone_number": "904-824-8088",
"fax_number": "904-826-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "CHRISTY",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-24",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9229375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.