DR. GHASSAN J GHATA MD
NPI 1013983063
Pediatrics in Jacksonville, FL

Q: What is Ghassan Ghata's NPI number?

The NPI number for Ghassan Ghata is 1013983063. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Ghassan Ghata's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ghassan Ghata was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 28, 2006PECOS Enrolled

13770 BEACH BLVD, SUIT 6, JACKSONVILLE, FL 32224(904) 330-0524(904) 647-9491 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2021, Apr 30, 2021, Apr 22, 2021 (3 updates tracked since 2021).

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About Dr. Ghassan J Ghata Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GHASSAN J GHATA MD (NPI 1013983063) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME0026102) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1013983063

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. GHASSAN J GHATACredential: MD

Location Address13770 BEACH BLVD, SUIT 6Jacksonville, FL 32224-7205

Mailing Address13770 Beach Blvd, Suit 6Jacksonville, FL 32224-7205 · (904) 330-0524 · Fax (904) 647-9491

Phone(904) 330-0524

Fax(904) 647-9491

Sole ProprietorYes

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMay 13, 20213 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1013983063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME0026102

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License ME0026102 (FL)

13770 BEACH BLVD, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 16639 Southpoint Pkwy Ste 108Jacksonville, FL 32216-8042 · Phone (904) 438-7640 ext. 216 · Fax (904) 438-7656

Other Identifiers 1

Medicaid099154500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ghassan J Ghata Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ghassan Ghata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Solantic Of Jacksonville, LLC

13 mi

Urgent Care

151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081

Reassigned Medicare billing, Florida enrollment
189 clinicians in this Medicare group

NPI 1407893100 (904) 543-3677

AFC Florida, LLC

339 mi

Urgent Care

4713 HIGHWAY 90
Pace, FL 32571

Reassigned Medicare billing, Florida enrollment
51 clinicians in this Medicare group

NPI 1205268208 (850) 304-0694

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE CHRISTINE GORDEN ARNP

Nurse Practitioner (Pediatrics)

13770 BEACH BLVD, SUITE # 6
JACKSONVILLE, FL 32224

Duval County (904) 242-4220

DR. MADHURA NITIN BUTALA MD

Pediatrics

13770 BEACH BLVD, #6
JACKSONVILLE, FL 32224

Duval County (904) 242-4220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ghassan Ghata's NPI number?

The NPI number for Ghassan Ghata is 1013983063. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Ghassan Ghata located?

Ghassan Ghata practices at 13770 Beach Blvd Suit 6, Jacksonville, FL 32224. The listed phone number is (904) 330-0524.

What is Ghassan Ghata's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ghassan Ghata enrolled in Medicare?

Yes. Ghassan Ghata is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ghassan Ghata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ghassan Ghata reassigns Medicare benefits to 2 organizations: Solantic Of Jacksonville, LLC (Ponte Vedra, FL) and AFC Florida, LLC (Pace, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ghassan Ghata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ghassan Ghata accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Ghassan Ghata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ghassan Ghata was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.