GENESIS GROUP OF FAMILY PRACTICES LLC (NPI# 1215464094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215464094 |
| Entity Type | Organization |
| Organization Name | GENESIS GROUP OF FAMILY PRACTICES LLC |
| Practice Address |
800 S Nova Rd Ste J Ormond Beach FL 32174-9048 |
| Mailing Address |
1133 Saxon Blvd Ste 100 Orange City FL 32763-8425 |
| Practice Telephone | 3862182353 |
| Mailing Telephone | 3862182353 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | JAY C CHANMUGAM (PRESIDENT) |
| Authorized Official Telephone | 3862182353 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS8600 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
800 S NOVA RD STE J |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-9048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366525750 | Dannie Earl Buck | Internal Medicine | 800 S Nova Rd, Suite A, Ormond Beach, FL 32174-7362 | 2006-10-23 |
| 1801391388 | Ann-marie Vitalis | Nurse Practitioner | 800 S Nova Rd, Ormond Beach, FL 32174 | 2018-03-27 |
| 1447799242 | Genesis Family Practice LLC | General Practice | 800 S Nova Rd, Suite I, Ormond Beach, FL 32174-9048 | 2017-02-14 |
| 1427484807 | Von Katherine Perez | Pharmacist | 800 S Nova Rd, Ormond Beach, FL 32174-9048 | 2013-09-18 |
| 1982985826 | Your Doctor's Office, Inc. | Internal Medicine | 800 S Nova Rd, Suite A, Ormond Beach, FL 32174-9048 | 2011-09-06 |
| 1265711261 | John B Turner Md Pa | Family Medicine | 800 S Nova Rd, Suite I, Ormond Beach, FL 32174-9048 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306053442 | Tames Family Practice LLC | General Practice | 1010 Ocean Shore Blvd, Ormond Beach, FL 32176-4106 | 2007-05-17 |
| 1386857761 | Lance Dean Ashworth | General Practice | 73 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2007-05-08 |
| 1629184106 | Rena Michel Robbins | General Practice | 621 S Nova Rd, Ormond Beach, FL 32174-6901 | 2006-08-21 |
| 1275569915 | Emin S. Cay | General Practice | 1 Evergreen Cir, Ormond Beach, FL 32176-2310 | 2006-06-24 |
| 1447799242 | Genesis Family Practice LLC | General Practice | 800 S Nova Rd, Suite I, Ormond Beach, FL 32174-9048 | 2017-02-14 |
| 1063787331 | Advanced Health Care Physical Medicine,llc | General Practice | 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174-8114 | 2012-03-20 |
| 1407031438 | Lisa Reimer | General Practice | 106 N Old Kings Rd, Ormond Beach, FL 32174-9505 | 2008-01-09 |
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| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on GENESIS GROUP OF FAMILY PRACTICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.