DR. DEBORAH LANE GHANDOUR PA-C, DHSC
NPI 1053329599
Physician Assistant - Medical in Jacksonville Beach, FL

Q: What is Deborah Ghandour's NPI number?

The NPI number for Deborah Ghandour is 1053329599. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Deborah Ghandour's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Ghandour was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 03, 2006PECOS Enrolled

1825 3RD ST N STE B, JACKSONVILLE BEACH, FL 32250(904) 595-5826(904) 595-5827 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2022, Sep 12, 2022, Mar 24, 2017 (3 updates tracked since 2017).

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About Dr. Deborah Lane Ghandour Pa-c, Dhsc NPPES

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

DR. DEBORAH LANE GHANDOUR PA-C, DHSC (NPI 1053329599) is an individual medical provider in Jacksonville Beach, Florida, licensed in Florida (PA9101774) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053329599

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDR. DEBORAH LANE GHANDOURCredential: PA-C, DHSC

Location Address1825 3RD ST N STE BJacksonville Beach, FL 32250-4840

Mailing Address1825 3rd St N Ste BJacksonville Beach, FL 32250-4840 · (904) 595-5826 · Fax (904) 595-5827

Phone(904) 595-5826

Fax(904) 595-5827

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 3, 2006

Last NPPES UpdateDecember 16, 20223 updates tracked since enumeration

NPPES CertifiedDecember 16, 2022

✔ NPI 1053329599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9101774

1825 3RD ST N STE B, Jacksonville Beach, FL 32250

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deborah Lane Ghandour Pa-c, Dhsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254352164

PECOS Enrollment IDI20051207000581

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

475 services133 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

126 services30 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

49 services11 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

31 services29 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

29 services12 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

24 services21 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

21 services13 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

19 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services13 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

15 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

14 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

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.

BEACHSIDE PRIMARY CARE LLC

Clinic/Center (Primary Care)

1825 3RD ST N STE B
JACKSONVILLE BEACH, FL 32250

Duval County (904) 595-5826

MOORE BOUTIQUE, LLC

In Home Supportive Care

1825 3RD ST N STE B
JACKSONVILLE BEACH, FL 32250

Duval County (904) 372-4534

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 Deborah Ghandour's NPI number?

The NPI number for Deborah Ghandour is 1053329599. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Deborah Ghandour located?

Deborah Ghandour practices at 1825 3rd St N Ste B, Jacksonville Beach, FL 32250. The listed phone number is (904) 595-5826.

What is Deborah Ghandour's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Deborah Ghandour enrolled in Medicare?

Yes. Deborah Ghandour is registered in the Medicare PECOS enrollment system.

Is Deborah Ghandour affiliated with any hospitals?

According to CMS data, Deborah Ghandour is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Deborah Ghandour was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.