DR. JONATHAN DREW GROSS PSY.D.
NPI 1174880959
Clinical Neuropsychologist in Jacksonville, FL

Q: What is Jonathan Gross's NPI number?

The NPI number for Jonathan Gross is 1174880959. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Q: What is Jonathan Gross's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Jonathan Gross enrolled in Medicare?

No. Jonathan Gross has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gross was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 18, 2012Opted out of Medicare · through Apr 1, 2027

9310 OLD KINGS RD S, SUITE 102, JACKSONVILLE, FL 32257(904) 437-5176(904) 438-3175 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jonathan Drew Gross Psy.d. NPPES

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

DR. JONATHAN DREW GROSS PSY.D. (NPI 1174880959) is an individual clinical neuropsychologist in Jacksonville, Florida, licensed in Florida (PY 8505) and active in the NPI registry since April 2012. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174880959

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JONATHAN DREW GROSSCredential: PSY.D.

Location Address9310 OLD KINGS RD S, SUITE 102Jacksonville, FL 32257-6152

Mailing Address9310 Old Kings Rd S, Suite 102Jacksonville, FL 32257-6152 · (904) 437-5176 · Fax (904) 438-3175

Phone(904) 437-5176

Fax(904) 438-3175

Sole ProprietorYes

Enumeration DateApril 18, 2012

Last NPPES UpdateSeptember 11, 2013

✔ NPI 1174880959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in FL · PY 8505✔ Licensed in GA · PSY003602

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY 8505 (FL)

9310 OLD KINGS RD S, Jacksonville, FL 32257

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jonathan Drew Gross Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

JAX SLEEP SOLUTIONS LLC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

9310 OLD KINGS RD S, SUITE 601
JACKSONVILLE, FL 32257

Duval County (904) 737-8081

DR. ZAIN BARNOUTI LLC

Podiatrist (Foot & Ankle Surgery)

9310 OLD KINGS RD S, SUITE 1201
JACKSONVILLE, FL 32257

Duval County (904) 636-9197

DR. JEFFREY B. SCHULTZ D.D.S.

Dentist (General Practice)

9310 OLD KINGS RD S, BLDG. 601
JACKSONVILLE, FL 32257

Duval County (904) 737-8081

WILLIAM J NAMEN II DPM PA

Podiatrist

9310 OLD KINGS RD S, SUITE 1201
JACKSONVILLE, FL 32257

Duval County (904) 636-9197

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 Jonathan Gross's NPI number?

The NPI number for Jonathan Gross is 1174880959. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Jonathan Gross located?

Jonathan Gross practices at 9310 Old Kings Rd S Suite 102, Jacksonville, FL 32257. The listed phone number is (904) 437-5176.

What is Jonathan Gross's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jonathan Gross enrolled in Medicare?

No. Jonathan Gross has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Gross was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.