Individual provider Active NPI

Vernice D Ragsdale, MD

  • Family Medicine Physician
  • Indialantic, FL
National Provider Identifier
1467446450
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME13755 Issued in FL
Practice address
222 Orlando Blvd
Indialantic, FL 32903-3421
Phone
(321) 432-9565
Fax
(321) 722-1764
NPI assigned
Sep 6, 2005
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME13755 FL Primary

Addresses

Primary practice location

222 Orlando Blvd
Indialantic, FL 32903-3421

Mailing address

222 Orlando Blvd
Indialantic, FL 32903-3421
Phone (321) 432-9564

Other names 1

  • Denny Ragsdale Professional name

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
I20071226000390 FL Practitioner - Family PracticePractitioner - General Practice 6103921283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jai HoGroup PAC ID 7214233576, 2 clinicians

Practice addresses (Care Compare)

1663 Georgia St NE
Suite 400
Palm Bay, FL 32907-2537
Phone (321) 802-9080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME13755FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Ho LLC Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Jai Ho Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Mitchell R Greenberg, DC, Inc Past Accepting new patients

Locations

1663 Georgia St NE
Ste 400
Palm Bay, FL 32907
Phone (321) 298-5531

Organizations & group practices 4

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1467446450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ORLANDO BLVD",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033421",
            "telephone_number": "321-432-9564",
            "fax_number": "321-722-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ORLANDO BLVD",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033421",
            "telephone_number": "321-432-9565",
            "fax_number": "321-722-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "VERNICE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME13755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNY",
            "last_name": "RAGSDALE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.