J & G MEDICAL ASSOCIATES PA – Psychiatric/Mental Health Nurse Practitioner, NPI 1184042079

J & G MEDICAL ASSOCIATES PA is a healthcare provider. based in Plantation, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for J & G MEDICAL ASSOCIATES PA is 1184042079

Main info

Organization
Name
J & G MEDICAL ASSOCIATES PA
NPI
1184042079
Phone
(914) 602-6209
Address
4100 S HOSPITAL DR STE 102
Authorized Official
MR. JAISON CHAKKAPPAN PRESIDENT ARNP
Enumeration Date
29 March 2014
Last Update Date
17 August 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for J & G MEDICAL ASSOCIATES PA

  • 4100 S HOSPITAL DR STE 102

    PLANTATION, FL 333172831

    Phone: (914) 602-6209

    Fax: (954) 357-1175

    Type: Mailing

  • 8958 W STATE ROAD 84 STE 342

    DAVIE, FL 333244457

    Phone: (914) 602-6209

    Fax: (954) 357-1175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20151001001781OClinic/Group PracticeFL2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33317)

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Reviews

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Frequently asked questions

Is J & G MEDICAL ASSOCIATES PA listed with a National Provider Identifier?
Yes — J & G MEDICAL ASSOCIATES PA has NPI 1184042079 on file in the registry.
Is J & G MEDICAL ASSOCIATES PA still an active registrant?
J & G MEDICAL ASSOCIATES PA carries an active NPI according to the public dataset.
What kind of doctor is J & G MEDICAL ASSOCIATES PA?
J & G MEDICAL ASSOCIATES PA is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with J & G MEDICAL ASSOCIATES PA?
Directory geography for J & G MEDICAL ASSOCIATES PA centers on Plantation, Florida.
Can I trust this NPI listing for J & G MEDICAL ASSOCIATES PA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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