Chadd Kawika Eaglin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME126425 Issued in FL

Practice address

1579 The Greens Way Ste 18
Jacksonville Beach, FL 32250-1418

Phone

(904) 373-0659

NPI assigned

May 20, 2007

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

University of Missouri, Kansas City, School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magdan LLCGroup PAC ID 1052774528, 2 clinicians

Universal Neurological Care PAGroup PAC ID 3274849120, 3 clinicians

First Coast TMS, PLLCGroup PAC ID 4981071651, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: chadd.eaglin.1@23145.direct.athenahealth.com

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.

• First Coast TMS, PLLC

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1265168090

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Magdan LLC

  dba Sprout Recovery

  • Adult Mental Health Clinic/Center
  • Fort Myers, FL
  • NPI 1609501428

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Universal Neurological Care PA

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1508257692
  Medicare reassignment Care Compare group
• Blog Planet LLC

  dba Zion Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
  • NPI 1609591361

  Single Specialty

  Medicare reassignment NPD
• Magdan LLC

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1619755501

  Psychiatry

  NPD
• Discovery Mental Health Services

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1023697745

  Single Specialty

  NPD (past)
• George M Joseph MD PA

  • Psychiatry Physician
  • Jacksonville Beach, FL
  • NPI 1770753311

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1750599833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 THE GREENS WAY STE 18",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501418",
            "telephone_number": "904-373-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 THE GREENS WAY STE 18",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501418",
            "telephone_number": "904-373-0659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132421",
            "country_code": "US",
            "telephone_number": "808-586-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGLIN",
        "first_name": "CHADD",
        "middle_name": "KAWIKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MDR-5073",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME126425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Giles Dudley-Robey, MD, NMD
• Christina F Duke, SPEECH PATHOLOGIST
• Deloris Sorsdahl Dunagan, PMH-BC
• Harry Joseph Dunn Jr., DC DABCN FIAMA
• Meghan K Dunn, PT
• Letitia Michele Early
• East Coast Worldwide LLC
• Melvin Eaton
• Eccella Smiles PA
• Kevin Heath Echols, CRNA

• Psychiatry Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.