Active NPI
Ryan Joseph Gnandt, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 01067121A
- Practice address
- 2080 Child St
Jacksonville, FL 32214-5005 - Phone
- (904) 542-7679
- NPI assigned
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01067121A | IN | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 01067121A | IN | Primary |
Addresses
Primary practice location
2080 Child St
Jacksonville, FL 32214-5005
Mailing address
2080 Child St
Jacksonville, FL 32214-5005
Phone (904) 542-7679
Other practice location 1
1373 E State Road 62 Ste 2A
Madison, IN 47250-7328
Phone (812) 801-0848
Other practice location 2
130 Hunter Station Way Ste 230
Sellersburg, IN 47172-8930
Phone (812) 282-8494
Other practice location 3
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-1813
Other practice location 4
1461 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 282-8494
Other practice location 5
3707 Charlestown Rd Ste C1
New Albany, IN 47150-9254
Phone (812) 944-4720
Other practice location 6
1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494
Other practice location 7
1824 Dorchester Ct Ste A
Goshen, IN 46526-6819
Phone (574) 534-2548
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100986410 | Medicaid | KY | |
| 300091206 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067121A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton - Kings Daughters Health Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Goshen Health System Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Goshen Health System Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
1824 Dorchester Ct
Ste A
Goshen, IN 46526
Phone (574) 534-2548
2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752
1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494
1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
3707 Charlestown Rd
Ste C1
New Albany, IN 47150
Phone (812) 944-4720
1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494
130 Hunter Station Way
Ste 230
Sellersburg, IN 47172
Phone (812) 282-8494
130 Hunter Station Way
Ste 101
Sellersburg, IN 47172
Phone (812) 246-4808
Organizations & group practices 8
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.
-
dba Norton King's Daughters' Health
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
Orthopaedic Surgery
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
dba Goshen Physicians Diagnostics
- Radiology Clinic/Center
- Goshen, IN
- NPI 1588190284
-
dba Kings Daughters Health
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1538329479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7679"
}
],
"practiceLocations": [
{
"address_1": "1373 E State Road 62 Ste 2A",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "IN",
"postal_code": "472507328",
"country_code": "US",
"telephone_number": "812-801-0848",
"fax_number": "812-801-0773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Hunter Station Way Ste 230",
"address_purpose": "LOCATION",
"city": "Sellersburg",
"state": "IN",
"postal_code": "471728930",
"country_code": "US",
"telephone_number": "812-282-8494",
"fax_number": "812-288-4481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-1813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1461 N Gardner St",
"address_purpose": "LOCATION",
"city": "Scottsburg",
"state": "IN",
"postal_code": "471707751",
"country_code": "US",
"telephone_number": "812-282-8494",
"fax_number": "812-288-4481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3707 Charlestown Rd Ste C1",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471509254",
"country_code": "US",
"telephone_number": "812-944-4720",
"fax_number": "812-590-2296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1220 Spring St",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471303704",
"country_code": "US",
"telephone_number": "812-282-8494",
"fax_number": "812-288-4481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1824 Dorchester Ct Ste A",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "465266819",
"country_code": "US",
"telephone_number": "574-534-2548",
"fax_number": "574-534-3622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GNANDT",
"first_name": "RYAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-13",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01067121A",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "01067121A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100986410",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300091206",
"state": "IN"
}
],
"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 Sep 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.