LELA OKROMELIDZE MD
NPI 1588368781
Radiology - Diagnostic Radiology in Jacksonville, FL
About Lela Okromelidze Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LELA OKROMELIDZE MD (NPI 1588368781) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME175738) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lela Okromelidze Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Lela Okromelidze's NPI number?
The NPI number for Lela Okromelidze is 1588368781. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Lela Okromelidze located?
Lela Okromelidze practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Lela Okromelidze's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Lela Okromelidze enrolled in Medicare?
Yes. Lela Okromelidze is registered in the Medicare PECOS enrollment system.
Is Lela Okromelidze affiliated with any hospitals?
According to CMS data, Lela Okromelidze is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Lela Okromelidze was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Lela Okromelidze, MD · NPI 1588368781
Diagnostic Radiology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1588368781 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** ME175738 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1588368781) · Data from the CMS NPPES public registry.