Doctor profile · Federal record
Dr. Avery Chisholm, MD
Gastroenterology Physician (CMS: Gastroenterology) · Yulee, FL
- NPI 1558824912
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
462626 State Road 200 Ste 300
Yulee, FL 320975516
(904) 398-7205 - Mailing address
-
4800 Belfort RD
Jacksonville, FL 322566004
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- October 7, 2025
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Florida #ME175195
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558824912. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$194
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Celgene Corporation | 1 | $113.44 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $80.69 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Avery Chisholm's medical specialty?
Dr. Avery Chisholm practices Gastroenterology Physician in Yulee, FL.
Where does Dr. Avery Chisholm practice?
Dr. Avery Chisholm practices at 462626 State Road 200 Ste 300, Yulee, FL 320975516. Office phone: 9043987205.
What is Dr. Avery Chisholm's NPI?
Dr. Avery Chisholm's National Provider Identifier (NPI) is 1558824912, issued by NPPES.
Does Dr. Avery Chisholm accept Medicare assignment?
Yes. Dr. Avery Chisholm accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.