Granzow Medical LLP

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

GRANZOW MEDICAL LLP

Practice address

4268 Oldfield Crossing Dr Ste 303
Jacksonville, FL 32223-7899

Phone

(904) 325-9386

Fax

(310) 882-6260

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Stacy Ashley

Title

Practice Manager

Phone

(904) 874-9709

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carson Mitchell Clemons, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1710654348
  NPD
• Joachim W Granzow, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Jacksonville, FL
  • NPI 1538178017
  NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1912624263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739471",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753739471",
            "telephone_number": "904-325-9386",
            "fax_number": "904-650-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 OLDFIELD CROSSING DR STE 303",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237899",
            "telephone_number": "904-325-9386",
            "fax_number": "310-882-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANZOW MEDICAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "904-874-9709"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@drgranzow.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4268 Oldfield Crossing Dr Ste 303",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322237899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lashonda Grant, C.N.A
• Nakish Danielle Grant, M.D.
• Shakhia Grant, APRN
• Stacey M Grant
• Telisa Grant, APRN
• Joachim W Granzow, M.D.
• Megan Andrena Graser
• Nathaniel M Grassi, MS
• Brett I Gratz, MD
• Robine N Grause

• Plastic Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.