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AFFIRM DIRECT PRIMARY CARE P.A.
NPI 1629811930
Family Medicine in Jacksonville, FL

Active since June 14, 2024CLIA 10D2272284 · Waiver
6871 BELFORT OAKS PL STE 300, JACKSONVILLE, FL 32216(904) 893-1990 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Affirm Direct Primary Care P.a. NPPES

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

AFFIRM DIRECT PRIMARY CARE P.A. (NPI 1629811930), doing business as Affirm Dpc, is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Johnique Bennett, Director, as its authorized official.

NPPES Registry Identity

NPI1629811930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAFFIRM DIRECT PRIMARY CARE P.A.
Location Address6871 BELFORT OAKS PL STE 300Jacksonville, FL 32216-6242
Mailing Address6871 Belfort Oaks Pl Ste 300Jacksonville, FL 32216-6242 · (904) 893-1990
Phone(904) 893-1990
Organization SubpartNo
Authorized OfficialJohnique BennettDirector · (904) 839-1990
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1629811930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
6871 BELFORT OAKS PL STE 300, Jacksonville, FL 32216
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Other Names 1

Doing Business AsAffirm Dpc

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

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 10D2272284

Affirm Direct Primary Care PA · Jacksonville, FL
Active · expires Nov 16, 2026
CLIA Number10D2272284
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorJohnique C. Bennett
Laboratory Phone(904) 839-1990
Laboratory LocationAffirm Direct Primary Care PA6871 Belfort Oak Place Suite 300, Jacksonville, FL 32216
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 3

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

JAMES AUGUSTUS JOYNER IV M.D.
General Practice
6871 BELFORT OAKS PL STE 300
JACKSONVILLE, FL 32216
Duval County (904) 839-1990
RIVER CITY INTEGRATIVE CARE
Nurse Practitioner (Psychiatric/Mental Health)
6871 BELFORT OAKS PL STE 300
JACKSONVILLE, FL 32216
Duval County (904) 583-3030
GREY AREA THERAPY JAX CO.
Clinic/Center (Mental Health (Including Community Mental Health Center))
6871 BELFORT OAKS PL STE 300
JACKSONVILLE, FL 32216
Duval County (904) 323-2729

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 Affirm Direct Primary Care P.A.'s NPI number?

The NPI number for Affirm Direct Primary Care P.A. is 1629811930. It was assigned to this organization in the NPPES registry on June 14, 2024. The provider is doing business as Affirm DPC.

Where is Affirm Direct Primary Care P.A. located?

Affirm Direct Primary Care P.A. is located at 6871 Belfort Oaks Pl Ste 300, Jacksonville, FL 32216. The listed phone number is (904) 893-1990.

What is Affirm Direct Primary Care P.A.'s specialty?

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

Does Affirm Direct Primary Care P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2272284) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Affirm Direct Primary Care P.A. was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.