BAPTIST AGEWELL PHYSICIANS INC
NPI 1306107099
Family Medicine in Jacksonville, FL
About Baptist Agewell Physicians Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAPTIST AGEWELL PHYSICIANS INC (NPI 1306107099) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since May 2012. The organization lists Elizabeth Tibbs, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 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)
Baptist Agewell Physicians Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Baptist Agewell Physicians Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 21Jacksonville Beach, FL 32207
Jacksonville Beach, FL 32207
Jacksonville Beach, FL 32207
Jacksonville Beach, FL 32207
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 Baptist Agewell Physicians Inc's NPI number?
The NPI number for Baptist Agewell Physicians Inc is 1306107099. It was assigned to this organization in the NPPES registry on May 30, 2012.
Where is Baptist Agewell Physicians Inc located?
Baptist Agewell Physicians Inc is located at 3563 Philips Hwy Ste 101, Jacksonville, FL 32207. The listed phone number is (904) 202-2092.
What is Baptist Agewell Physicians Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Baptist Agewell Physicians Inc enrolled in Medicare?
Yes. Baptist Agewell Physicians Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Baptist Agewell Physicians Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Baptist Agewell Physicians Inc. 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. The largest specialties are Nurse Practitioner (12), Hospitalist (4) and Geriatric Medicine (2). Of these, 8 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Baptist Agewell Physicians Inc was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Baptist Agewell Physicians Inc · NPI 1306107099
Family Medicine organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since May 30, 2012.
## Identity
- **NPI:** 1306107099 (Entity type: Organization)
- **Enumerated:** May 30, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Tibbs, VICE PRESIDENT
## Practice location
- **Address:** 3563 PHILIPS HWY STE 101, Jacksonville, FL 32207-5627
- **Phone:** (904) 202-2092 · **Fax:** (904) 376-4075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Hospitalist (4), Geriatric Medicine (2); 8 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1306107099/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1306107099) · Data from the CMS NPPES public registry.