Genesis Family Practice, LLC
NPI 1023369204 · Family Medicine Physician · Orange City, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Genesis Family Practice, LLC is a Family Medicine Physician organization in Orange City, FL (NPI 1023369204).
Provider details
- NPI number
- 1023369204
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jay Chanmugam, Owner(386) 878-4137
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 800 S Nova Rd Ste IOrmond Beach, FL 32174-7362Phone: (386) 228-9700
Registry dates
- Enumerated
- 2012-09-27
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Frequently asked questions
- What is Genesis Family Practice, LLC's NPI number?
- Genesis Family Practice, LLC's National Provider Identifier (NPI) is 1023369204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Family Practice, LLC?
- Genesis Family Practice, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Family Practice, LLC located?
- Genesis Family Practice, LLC's practice location on file with NPPES is 1133 Saxon Blvd, Orange City, FL 32763-8425.
- What is Genesis Family Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Genesis Family Practice, LLC is (386) 228-9700.
- Does Genesis Family Practice, LLC accept Medicare?
- Genesis Family Practice, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Genesis Family Practice, LLC?
- The authorized official listed on Genesis Family Practice, LLC's NPPES record is Jay Chanmugam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Family Practice, LLC's NPI active?
- Yes — Genesis Family Practice, LLC's NPI (1023369204) is active in the NPPES registry as of the last update on 2022-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.