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JOACHIM W GRANZOW M.D.
NPI 1538178017
Surgery - Plastic and Reconstructive Surgery in Jacksonville, FL

Active since August 05, 2006Opted out of Medicare · through Oct 1, 2027
4268 OLDFIELD CROSSING DR STE 303, JACKSONVILLE, FL 32223(904) 325-9386(310) 882-6260 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2025, Jul 27, 2022 (2 updates tracked since 2022).

About Joachim W Granzow M.d. NPPES

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

JOACHIM W GRANZOW M.D. (NPI 1538178017) is an individual plastic and reconstructive surgery provider in Jacksonville, Florida, licensed in Florida (ME85458) and active in the NPI registry since August 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538178017
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJOACHIM W GRANZOWCredential: M.D.
Location Address4268 OLDFIELD CROSSING DR STE 303Jacksonville, FL 32223-7899
Mailing Address10700 Beach Blvd Unit 16428Jacksonville, FL 32245-8018 · (904) 325-9386 · Fax (904) 650-2911
Phone(904) 325-9386
Fax(310) 882-6260
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1538178017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in FL · ME85458✔ Licensed in GA · 95447✔ Licensed in CA · A67284
Definition

A surgeon who specializes in plastic and reconstructive surgery.

4268 OLDFIELD CROSSING DR STE 303, Jacksonville, FL 32223
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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

Joachim W Granzow M.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 October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 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 3

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

MS. CARSON MITCHELL CLEMONS PA-C
Physician Assistant
4268 OLDFIELD CROSSING DR STE 303
JACKSONVILLE, FL 32223
Duval County (904) 325-9386
GRANZOW MEDICAL LLP
Plastic Surgery
4268 OLDFIELD CROSSING DR STE 303
JACKSONVILLE, FL 32223
Duval County (904) 325-9386
GLL CENTER, LLC
Surgery (Plastic and Reconstructive Surgery)
4268 OLDFIELD CROSSING DR STE 303
JACKSONVILLE, FL 32223
Duval County (904) 874-9709

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 Joachim Granzow's NPI number?

The NPI number for Joachim Granzow is 1538178017. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Joachim Granzow located?

Joachim Granzow practices at 4268 Oldfield Crossing Dr Ste 303, Jacksonville, FL 32223. The listed phone number is (904) 325-9386.

What is Joachim Granzow's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Joachim Granzow enrolled in Medicare?

No. Joachim Granzow has opted out of Medicare through October 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 Joachim Granzow was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.