NPIMap

Individual provider Active NPI

Chandra Alarice Adams, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1104858034
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME96125 Issued in FL
Practice address
6871 Belfort Oaks PL
Jacksonville, FL 32216-6242
Phone
(904) 674-0022
Fax
(904) 425-0192
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME96125 FL Primary

Addresses

Primary practice location

6871 Belfort Oaks PL
Jacksonville, FL 32216-6242

Mailing address

6871 Belfort Oaks PL
Jacksonville, FL 32216-6242
Phone (904) 674-0022

Other identifiers 2

IdentifierTypeStateIssuer
275841500MedicaidFL
ME96125OtherFLFLORIDA MEDICAL LICENSE

Other names 1

  • Dr. Chandra Alarice Henry Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000378 FL Practitioner - Obstetrics/Gynecology 0244321891 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 12, 2016 Accepting new patients
Alarice Enterprises, LLC Current Accepting new patients
Alarice Enterprises, LLC Current Accepting new patients
Diana Health FL P.a. Obstetrics & Gynecology CurrentSince Feb 18, 2026 Accepting new patients
Flagler OB GYN PA Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 12, 2016 Accepting new patients
Womencare PA Past Accepting new patients
Absolute OBGYN LLC Obstetrics & Gynecology Past Accepting new patients
Jacksonville Specialists LLC Obstetrics & Gynecology Past Accepting new patients
Juan Larroude MD PA PastSince Nov 1, 2020 Accepting new patients

Locations

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1061 Medical Center Dr
Ste 102
Orange City, FL 32763
Phone (386) 456-3852

3100 US Highway 1 S
Ste 1
Saint Augustine, FL 32086
Phone (904) 797-2777

Interoperability endpoints

  • Direct secure messaging: chandra.adams.1@12047.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10783/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chandra.adams.1@2183.direct.athenahealth.com
  • Direct secure messaging: chandra.adams.1@10783.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Organizations & group practices 11

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1104858034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166242",
            "telephone_number": "904-674-0022",
            "fax_number": "904-425-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166242",
            "telephone_number": "904-674-0022",
            "fax_number": "904-425-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CHANDRA",
        "middle_name": "ALARICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME96125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275841500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME96125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "HENRY",
            "middle_name": "ALARICE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.