Shirin Ganjali, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

162970 Issued in FL

Practice address

291 Holley Grove Lane
Santa Rosa Beach, FL 32459-8057

Phone

(614) 706-6011

NPI assigned

Apr 7, 2020

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 Jul 3, 2026 through Jul 3, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1669001913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 HOLLEY GROVE LANE",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 HOLLEY GROVE LANE",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598057",
            "telephone_number": "614-706-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJALI",
        "first_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "162970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Frantz, OT
• Lisa Free, HIS
• Freedoctor, Inc (MyFreeDoctor)
• Fremont Health Solutions LLC (The Chiropractic Clinic)
• Allison Fuster, RDH
• Gano Medical, PLLC
• Anthony Garcia, PT
• Olga M. Garcia, PSY.D
• Christopher Joseph Gasho, M.D.
• Ronald Gavilan Yodu, MD

• Family Medicine Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.