Individual provider Active NPI

Ryan Joseph Gnandt, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jacksonville, FL
National Provider Identifier
1538329479
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
01067121A Issued in IN
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

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100986410MedicaidKY
300091206MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625003522 IN Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 2567860448 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067121AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Jul 1, 2024 Accepting new patients
Goshen Health System Inc Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Goshen Health System Inc CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.