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BEACHES FAMILY MEDICINE PA
NPI 1407986920
Family Medicine in Jacksonville Beach, FL

Active since March 06, 2007CLIA 10D2016952 · Waiver
228 6TH AVE S, JACKSONVILLE BEACH, FL 32250(904) 247-1911(904) 247-9736 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaches Family Medicine Pa NPPES

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

BEACHES FAMILY MEDICINE PA (NPI 1407986920) is a healthcare organization registered as a family medicine in Jacksonville Beach, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Vaughn E Dobalian, Physician And Owner, as its authorized official.

NPPES Registry Identity

NPI1407986920
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEACHES FAMILY MEDICINE PA
Location Address228 6TH AVE SJacksonville Beach, FL 32250-6634
Mailing Address228 6th Ave SJacksonville Beach, FL 32250-6634 · (904) 247-1911 · Fax (904) 247-9736
Phone(904) 247-1911
Fax(904) 247-9736
Organization SubpartNo
Authorized OfficialVaughn E DobalianPhysician And Owner · (904) 247-1911
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1407986920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS0004709
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
228 6TH AVE S, Jacksonville Beach, FL 32250
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2016952

Beaches Family Medicine · Jacksonville Beach, FL
Active · expires Nov 29, 2026
CLIA Number10D2016952
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorVaughn E. Dobalian
Laboratory Phone(904) 247-1911
Laboratory LocationBeaches Family Medicine228 Sixth Ave S, Jacksonville Beach, FL 32250
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

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

DR. VAUGHN ERIC DOBALIAN MD
Family Medicine
228 6TH AVE S
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-1911

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 Beaches Family Medicine PA's NPI number?

The NPI number for Beaches Family Medicine PA is 1407986920. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Beaches Family Medicine PA located?

Beaches Family Medicine PA is located at 228 6th Ave S, Jacksonville Beach, FL 32250. The listed phone number is (904) 247-1911.

What is Beaches Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beaches Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2016952) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beaches Family Medicine PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Beaches Family Medicine PA 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 Beaches Family Medicine PA was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.