Genesis Family Practice LLC
NPI 1447799242ActiveOrganization· General Practice· Ormond Beach, FL
General Practice in Ormond Beach, Florida, registered in NPPES in February 2017. The authorized official on file is Jay C. Chanmugam, D.O, Owner.
Overview
| NPI | 1447799242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2017 |
| Last updated in NPPES | Nov 28, 2022 |
| Certified by provider | Nov 28, 2022 |
| Reactivated | Apr 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | OS8600 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Ormond Beach
- 1063787331
- 1215464094
- 1306053442
- 1386857761
- 1275569915
- 1093350738
- 1780493064
- 1730830217
- 1407031438
- 1629184106