Organization Active NPI

First Coast TMS, PLLC

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1265168090
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
FIRST COAST TMS, PLLC
Practice address
8825 Perimeter Park Blvd Ste 402
Jacksonville, FL 32216-1124
Phone
(904) 647-6238
Fax
(904) 490-9035
NPI assigned
Jul 25, 2022
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Christopher D GammaranoNPI 1992294938
Title
Owner
Phone
(904) 647-6238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

8825 Perimeter Park Blvd Ste 402
Jacksonville, FL 32216-1124

Mailing address

PO Box 17726
Jacksonville, FL 32245-7726
Phone (904) 647-6238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109001975 FL Part B Supplier - Clinic/Group Practice 4981071651 Receives reassigned benefits from 5 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1265168090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17726",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457726",
            "telephone_number": "904-647-6238",
            "fax_number": "904-647-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD STE 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161124",
            "telephone_number": "904-647-6238",
            "fax_number": "904-490-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST TMS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "GAMMARANO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-647-6238"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.