GENESIS TOTALHEALTH AND WELLNESS CENTER
NPI 1104654037
Clinic/Center - Multi-Specialty in Jacksonville, FL
About Genesis Totalhealth And Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS TOTALHEALTH AND WELLNESS CENTER (NPI 1104654037) is a healthcare organization registered as a multi-specialty in Jacksonville, Florida and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Jacksonville and lists Tamara Dukes, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Genesis Totalhealth And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Totalhealth And Wellness Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Genesis Totalhealth And Wellness Center's NPI number?
The NPI number for Genesis Totalhealth And Wellness Center is 1104654037. It was assigned to this organization in the NPPES registry on July 23, 2024.
Where is Genesis Totalhealth And Wellness Center located?
Genesis Totalhealth And Wellness Center is located at 10151 Deerwood Park Blvd Ste 250, Jacksonville, FL 32256. The listed phone number is (330) 518-3999.
What is Genesis Totalhealth And Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Genesis Totalhealth And Wellness Center enrolled in Medicare?
Yes. Genesis Totalhealth And Wellness Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Genesis Totalhealth And Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Genesis Totalhealth And Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Genesis Totalhealth And Wellness Center was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Genesis Totalhealth And Wellness Center · NPI 1104654037
Multi-Specialty organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1104654037 (Entity type: Organization)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Tamara Dukes, CEO
## Practice location
- **Address:** 10151 DEERWOOD PARK BLVD STE 250, Jacksonville, FL 32256-0566
- **Phone:** (330) 518-3999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1104654037) · Data from the CMS NPPES public registry.