Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadai Gary, FNP-C

Individual provider Family Nurse Practitioner · NPI 1508640616

Shadai Gary, FNP-C is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Waianae District Comprehensive Health and Hospital Board Inc, a 161-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Hawaii.

Years since qualifying
3
Licensed in
FL, HI
In the registry since
2023
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Charing St
Jacksonville, FL 32216-6110
Phone: (904) 674-0022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 86-260 Farrington Hwy, Waianae, HI 96792-3128 — (808) 697-3300

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence APRN11044939 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-4198 (HI)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence APRN-4198 (HI)

Record details

NPI number1508640616
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Waianae District Comprehensive Health And Hospital Board Inc. — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jacksonville