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NPI · 1558824912 · NPPES-sourced

Avery Chisholm MD

ActiveGastroenterology
NPI Number
1558824912
Type 1 · Individual
Taxonomy Code
207RG0100X
Contact
(904) 398-7205
License FL · ME175195
Last Updated
Enumerated
Primary practice addressFL · 32097-5516
462626 State Road 200 Ste 300Yulee, FL 32097-5516
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About this NPIWhat this record shows.

NPI 1558824912 is registered to Avery Chisholm MD, a Gastroenterology practising at 462626 State Road 200 Ste 300 in Yulee, Florida. Gastroenterology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Avery Chisholm MD has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Avery Chisholm MD accepts. To confirm in-network status with your specific health plan, contact Avery Chisholm MD directly at (904) 398-7205.

Frequently asked

Yes. NPI 1558824912 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gastroenterology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (904) 398-7205.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Avery Chisholm MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207RG0100X
Last updated
Enumerated
StatusActive
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