Joachim W Granzow, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME85458 Issued in FL

Practice address

4268 Oldfield Crossing Dr Ste 303
Jacksonville, FL 32223-7899

Phone

(904) 325-9386

Fax

(310) 882-6260

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Granzow Medical LLP

  • Plastic Surgery Physician
  • Jacksonville, FL
  • NPI 1912624263
  NPD
• GLL Center, LLC

  • Plastic and Reconstructive Surgery Physician
  • Kingsland, GA
  • NPI 1932899630
  NPD
• J. Brian Boyd, M.D., Inc.

  • Specialist
  • Torrance, CA
  • NPI 1902041593
  NPD
• Harbor-UCLA Medical Foundation, Inc

  • Specialist
  • Torrance, CA
  • NPI 1437253184
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1538178017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 BEACH BLVD UNIT 16428",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322458018",
            "telephone_number": "904-325-9386",
            "fax_number": "904-650-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 OLDFIELD CROSSING DR STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237899",
            "telephone_number": "904-325-9386",
            "fax_number": "310-882-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANZOW",
        "first_name": "JOACHIM",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME85458",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "95447",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A67284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakish Danielle Grant, M.D.
• Shakhia Grant, APRN
• Stacey M Grant
• Telisa Grant, APRN
• Granzow Medical LLP
• Megan Andrena Graser
• Nathaniel M Grassi, MS
• Brett I Gratz, MD
• Robine N Grause
• Debra Mosley Graves

• Plastic and Reconstructive Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.