Individual provider Active NPI

George Andrew Schoonover, MD

  • Pulmonary Disease Physician
  • Jacksonville Beach, FL
National Provider Identifier
1346291101
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME33021 Issued in FL
Practice address
1361 13TH Ave S Ste 245
Jacksonville Beach, FL 32250-3238
Phone
(904) 396-0300
Fax
(904) 396-3039
NPI assigned
May 15, 2006
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME33021 FL
Pulmonary Disease Physician 207RP1001X ME33021 FL Primary

Addresses

Primary practice location

1361 13TH Ave S Ste 245
Jacksonville Beach, FL 32250-3238

Mailing address

1361 13TH Ave S Ste 245
Jacksonville Beach, FL 32250-3238
Phone (904) 396-0300

Other identifiers 10

IdentifierTypeStateIssuer
004E6OtherFLFLORIDA BLUE - GROUP
02027OtherFLFLORIDA BLUE - INDIVIDUAL
0098365-00OtherFLFL MEDICAID - GROUP
1346291101OtherFLUNITED HEALTHCARE
DT8174OtherFLRR MEDICARE - GROUP
4045223OtherFLAETNA
039256100MedicaidFL
1059961OtherFLCIGNA
40443OtherFLAVMED
6082OtherFLWELLCARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000489 FL Practitioner - Pulmonary Disease 9830226919 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME33021FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cisca Pulmonary Critical Care Inc Critical Care Medicine CurrentSince Apr 1, 2016 Accepting new patients

Locations

8773 Perimeter Park Ct
Jacksonville, FL 32216
Phone (904) 493-3390

1361 13th Ave S
Ste 245
Jax Bch, FL 32250
Phone (904) 396-0300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIDAD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1346291101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 245",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503238",
            "telephone_number": "904-396-0300",
            "fax_number": "904-396-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 245",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503238",
            "telephone_number": "904-396-0300",
            "fax_number": "904-396-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "GEORGE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME33021",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME33021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE - GROUP",
            "identifier": "004E6",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE - INDIVIDUAL",
            "identifier": "02027",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAID - GROUP",
            "identifier": "0098365-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1346291101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - GROUP",
            "identifier": "DT8174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4045223",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039256100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1059961",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "40443",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "6082",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.