Individual provider · Type 1 NPI

Avery Camille Chisholm, MD

Gastroenterology Physician · Yulee, FL

NPI number 1558824912 Active

Practice location

462626 State Road 200 Ste 300
Yulee, FL 32097-5516

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100XME175195 (FL)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Another provider at this address

About NPI 1558824912

Avery Camille Chisholm, MD's National Provider Identifier is 1558824912, issued on Apr 11, 2019. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Yulee, FL. The record was last updated on Oct 7, 2025.