Genesis Group of Family Practices LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS8600 Issued in FL

Legal business name

GENESIS GROUP OF FAMILY PRACTICES LLC

Practice address

800 S Nova Rd
Ste J
Ormond Beach, FL 32174-9048

Phone

(386) 218-2353

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Jay C Chanmugam, D.ONPI 1518905207

Title

President

Phone

(386) 218-2353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay C Chanmugam, DO

  • Emergency Medicine Physician
  • Orange City, FL
  • NPI 1518905207

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1215464094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SAXON BLVD",
            "address_2": "STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638425",
            "telephone_number": "386-218-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S NOVA RD",
            "address_2": "STE J",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749048",
            "telephone_number": "386-218-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS GROUP OF FAMILY PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CHANMUGAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-218-2353",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS8600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Arabelle Garnache, DMD
• Gastroenterology Consultants, P.a.
• Pamela J Gatfield, LCSW
• Genesis Counseling Center
• Genesis Family Practice LLC
• Madison George
• Wesley V. George, M.D.
• Roland Zsolt Gerencer, MD
• Heidi Gerson, LMFT
• Angela M. Gianini, M.D.

• General Practice Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.