Individual provider Active NPI

George Zislis

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1790188514
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PR384 Issued in FL
Practice address
9422 Arlington Expy
Jacksonville, FL 32225-8231
Phone
(904) 559-1844
Fax
(904) 900-7707
NPI assigned
Oct 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PR384 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PR384 FL Primary

Addresses

Primary practice location

9422 Arlington Expy
Jacksonville, FL 32225-8231

Mailing address

9422 Arlington Expy
Jacksonville, FL 32225-8231
Phone (904) 559-1844

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619001847 FL Practitioner - Podiatry 7416211420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR384FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
George Zislis, PA CurrentSince Feb 26, 2018 Accepting new patients
Bruce J Levine DPM PA Foot & Ankle Surgery CurrentSince Dec 1, 2020 Accepting new patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

390 S State Road 7
Hollywood, FL 33023
Phone (954) 743-5522

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 4

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1790188514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258231",
            "telephone_number": "904-559-1844",
            "fax_number": "904-900-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322258231",
            "telephone_number": "904-559-1844",
            "fax_number": "904-900-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISLIS",
        "first_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PR384",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.