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GHAZAL S VAFABAKHSH
NPI 1689135998
Physician Assistant in Jacksonville, FL

Active since March 28, 2019PECOS Enrolled
100/100
CMS Quality Rating
1301 PALM AVE, JACKSONVILLE, FL 32207(904) 202-7300(904) 202-7433 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2020, Jul 22, 2019 (2 updates tracked since 2019).

About Ghazal S Vafabakhsh NPPES

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

GHAZAL S VAFABAKHSH (NPI 1689135998) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112314) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fleming Island.

NPPES Registry Identity

NPI1689135998
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGHAZAL S VAFABAKHSH
Location Address1301 PALM AVEJacksonville, FL 32207-8432
Mailing AddressPo Box 45278Jacksonville, FL 32232-5278 · (904) 202-2092 · Fax (904) 393-7603
Phone(904) 202-7300
Fax(904) 202-7433
Sole ProprietorYes
Enumeration DateMarch 28, 2019
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1689135998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112314
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1301 PALM AVE, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Location 1

Location 12407 Golden Bell LnFleming Island, FL 32003-3372 · Phone (904) 343-3962

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ghazal S Vafabakhsh 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

CAITLYN MITCHELL MS
Genetic Counselor, MS
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-2992
LOREN E BONENCLARK PA-C
Physician Assistant
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
ANTERPREET SINGH NEKI M.D.
Internal Medicine (Hematology & Oncology)
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
MRS. BRITTANY FOLSOM BRYANT APRN
Nurse Practitioner
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
DR. BEDFORD HUDSON BERREY MD
Surgery (Surgical Oncology)
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
DR. STEPHEN LESLIE BUCKLEY M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
DR. BETH ANN LESNIKOSKI MD
Surgery
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300
AMANDA SHREDERS DEVEREAUX MD
Internal Medicine (Hematology & Oncology)
1301 PALM AVE
JACKSONVILLE, FL 32207
Duval County (904) 202-7300

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 Ghazal Vafabakhsh's NPI number?

The NPI number for Ghazal Vafabakhsh is 1689135998. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Ghazal Vafabakhsh located?

Ghazal Vafabakhsh practices at 1301 Palm Ave, Jacksonville, FL 32207. The listed phone number is (904) 202-7300.

What is Ghazal Vafabakhsh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ghazal Vafabakhsh enrolled in Medicare?

Yes. Ghazal Vafabakhsh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ghazal Vafabakhsh was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.