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BAPTIST AGEWELL PHYSICIANS INC
NPI 1023595105
Family Medicine - Geriatric Medicine in Jacksonville, FL

Active since July 23, 2018CLIA Certified · 3 labs
1325 SAN MARCO BLVD STE 300, JACKSONVILLE, FL 32207(904) 202-4243(904) 390-7415 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Jun 3, 2025, May 29, 2025 and 2 more (5 updates tracked since 2018).

About Baptist Agewell Physicians Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST AGEWELL PHYSICIANS INC (NPI 1023595105) is a healthcare organization registered as a geriatric medicine in Jacksonville, Florida and active in the NPI registry since July 2018. The organization holds 3 active CLIA laboratory certificates and lists Elizabeth Tibbs, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023595105
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameBAPTIST AGEWELL PHYSICIANS INC
Location Address1325 SAN MARCO BLVD STE 300Jacksonville, FL 32207-8567
Mailing AddressPo Box 746636Atlanta, GA 30374-6636 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-4243
Fax(904) 390-7415
Organization SubpartNo
Authorized OfficialElizabeth TibbsVice President · (904) 202-3283
Enumeration DateJuly 23, 2018
Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1023595105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1325 SAN MARCO BLVD STE 300, Jacksonville, FL 32207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2274666

Baptist Agewell Physicians, Inc · Jacksonville, FL
Active · expires Jan 8, 2027
CLIA Number10D2274666
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorAlison Bartfield
Laboratory Phone(904) 202-4243
Laboratory LocationBaptist Agewell Physicians, Inc1325 San Marco Blvd Suite 300, Jacksonville, FL 32207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2234970

Baptist Agewell Physicians, Inc · Ponte Vedra, FL
Active · expires Sep 2, 2027
CLIA Number10D2234970
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorAlison Bartfield
Laboratory Phone(904) 202-4243
Laboratory LocationBaptist Agewell Physicians, Inc98 Nocatee Village Dr, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2272281

Baptist Agewell Physicians, Inc · Neptune Beach, FL
Active · expires Nov 16, 2026
CLIA Number10D2272281
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorAnna Orman
Laboratory Phone(904) 202-4243
Laboratory LocationBaptist Agewell Physicians, Inc700 3rd St - Ste 102, Neptune Beach, FL 32266
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER CARROLL FULTON MD
Internal Medicine (Pulmonary Disease)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
MAX ARTHUR COURTNEY II PA-C
Physician Assistant
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
MICHELLE KEBBY LEON LMHC, NCC
Counselor (Mental Health)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DR. JORGE MIGUEL TRABANCO MD
Internal Medicine (Critical Care Medicine)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
DAVID PAUL ROY APRN
Nurse Practitioner (Acute Care)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 253-6910
REGINA M BIELAWSKI M.D.
Internal Medicine (Geriatric Medicine)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 202-4243
DR. HAZEM HERBLY MD
Psychiatry & Neurology (Psychiatry)
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
GEORGE H MCMURRAY III APRN
Nurse Practitioner
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207
Duval County (904) 202-4243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist Agewell Physicians Inc's NPI number?

The NPI number for Baptist Agewell Physicians Inc is 1023595105. It was assigned to this organization in the NPPES registry on July 23, 2018.

Where is Baptist Agewell Physicians Inc located?

Baptist Agewell Physicians Inc is located at 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207. The listed phone number is (904) 202-4243.

What is Baptist Agewell Physicians Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Baptist Agewell Physicians Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Baptist Agewell Physicians Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist Agewell Physicians Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baptist Agewell Physicians Inc was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.