PHYSICIANS GROUP SERVICES PA
NPI 1679737308
Family Medicine in Jacksonville, FL

Q: What is Physicians Group Services PA's NPI number?

The NPI number for Physicians Group Services PA is 1679737308. It was assigned to this organization in the NPPES registry on July 11, 2008. The provider is doing business as Coastal Health and Family Medical Center Southside.

Q: What is Physicians Group Services PA's specialty?

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

Active since July 11, 2008CLIA Certified · 4 labs

1906 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216(904) 724-3083(904) 727-9103 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Apr 26, 2024, Dec 1, 2021 and 1 more (4 updates tracked since 2021).

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About Physicians Group Services Pa NPPES

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

PHYSICIANS GROUP SERVICES PA (NPI 1679737308), doing business as Coastal Health, is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since July 2008. The organization holds 4 active CLIA laboratory certificates and lists Andrew T Christman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679737308

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHYSICIANS GROUP SERVICES PA

Location Address1906 SOUTHSIDE BLVDJacksonville, FL 32216-1930

Mailing Address705 Wells Rd Ste 300Orange Park, FL 32073-2982 · (904) 282-6331 · Fax (904) 619-1080

Phone(904) 724-3083

Fax(904) 727-9103

Organization SubpartYes

Authorized OfficialAndrew T ChristmanCeo · (941) 685-7688

Enumeration DateJuly 11, 2008

Last NPPES UpdateMay 30, 20254 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1679737308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

1906 SOUTHSIDE BLVD, Jacksonville, FL 32216

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Other Names 2

Doing Business AsCoastal Health

Doing Business AsFamily Medical Center Southside

Other Identifiers 1

Medicaid259123501FL

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), Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

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 10D0710260

Physicians Group Services PA Dba Family Medical Centers · Jacksonville, FL

Active · expires Oct 25, 2027

CLIA Number10D0710260

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorDouglas M. Pennington

Laboratory Phone(904) 724-3083

Laboratory LocationPhysicians Group Services PA Dba Family Medical Centers1906 Southside Blvd, Jacksonville, FL 32216

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 10D2240187

Physicians Group Services, PA · Jacksonville, FL

Active · expires Oct 17, 2027

CLIA Number10D2240187

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2025

Certificate Expiration DateOctober 17, 2027

Laboratory DirectorKenneth A. Powell

Laboratory Phone(904) 361-3784

Laboratory LocationPhysicians Group Services, PA6561 San Juan Avenue, Jacksonville, FL 32210

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2240199

Physicians Group Services, PA · Jacksonville, FL

Active · expires Oct 17, 2027

CLIA Number10D2240199

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2025

Certificate Expiration DateOctober 17, 2027

Laboratory DirectorKenneth A. Powell

Laboratory Phone(904) 361-3784

Laboratory LocationPhysicians Group Services, PA7024 Wiley Road, Jacksonville, FL 32210

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0934655

Physicians Group Services PA Dba Family First Medical Center · Jacksonville, FL

Active · expires Oct 12, 2027

CLIA Number10D0934655

Laboratory TypePhysician Office

Certificate Effective DateOctober 13, 2025

Certificate Expiration DateOctober 12, 2027

Laboratory DirectorRobert Dajac

Laboratory Phone(904) 765-7075

Laboratory LocationPhysicians Group Services PA Dba Family First Medical Center5445 Norwood Avenue, Jacksonville, FL 32208

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

LETICIA LEE PAPPAS APRN

Nurse Practitioner (Family)