Shahriar a Nabizadeh MD PA

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SHAHRIAR A NABIZADEH MD PA

Practice address

801 Oak St
Green Cove Springs, FL 32043-4317

Phone

(904) 803-7593

Fax

(904) 723-5653

NPI assigned

Sep 18, 2007

Last updated

Aug 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahriar A Nabizadeh, MDNPI 1396775730

Title

President

Phone

(904) 803-7593

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahriar A Nabizadeh, MD

  • Hospitalist Physician
  • Green Cove Springs, FL
  • NPI 1396775730

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Danna Charlene Morris, MN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1205109410
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1982890687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16373",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456373",
            "telephone_number": "904-723-0015",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OAK ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434317",
            "telephone_number": "904-803-7593",
            "fax_number": "904-723-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRIAR A NABIZADEH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "NABIZADEH",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-803-7593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41489",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252411200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• School Board of Clay County
• School Board of Clay County
• School Board of Clay County
• Randall Scott, D.O.
• Jana Renee Shaddix Diaz, PT
• Smiling Creations, PA
• Kayla Smith, FNP-BC
• Lawrence Matthew Smith, PHARMD
• Qiana Smith
• Hannah Souksavong, PT, DPT

• Hospitalist Physician in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.