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BAPTIST AGEWELL PHYSICIANS INC
NPI 1710464946
Internal Medicine - Geriatric Medicine in Jacksonville Beach, FL

Active since July 20, 2018CLIA 10D2322668 · Waiver
1350 13TH AVE S STE 118-A, JACKSONVILLE BEACH, FL 32250(904) 202-4600(904) 202-4639 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Baptist Agewell Physicians Inc NPPES

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

BAPTIST AGEWELL PHYSICIANS INC (NPI 1710464946) is a healthcare organization registered as a geriatric medicine in Jacksonville Beach, Florida and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1710464946
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameBAPTIST AGEWELL PHYSICIANS INC
Location Address1350 13TH AVE S STE 118-AJacksonville Beach, FL 32250-3203
Mailing AddressPo Box 3162Salt Lake City, UT 84110-3162 · (904) 202-1032 · Fax (904) 373-4107
Phone(904) 202-4600
Fax(904) 202-4639
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateJuly 20, 2018
Last NPPES UpdateDecember 12, 20182 updates tracked since enumeration
✔ NPI 1710464946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1350 13TH AVE S STE 118-A, Jacksonville Beach, FL 32250
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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).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 10D2322668

Baptist Agewell Physicians Inc · Fernandina Beach, FL
Active · expires Apr 23, 2027
CLIA Number10D2322668
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorAlison Bartfield
Laboratory Phone(904) 202-4600
Laboratory LocationBaptist Agewell Physicians Inc1545 South 14th Ave, Fernandina Beach, FL 32034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1710464946. It was assigned to this organization in the NPPES registry on July 20, 2018.

Where is Baptist Agewell Physicians Inc located?

Baptist Agewell Physicians Inc is located at 1350 13th Ave S Ste 118-A, Jacksonville Beach, FL 32250. The listed phone number is (904) 202-4600.

What is Baptist Agewell Physicians Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Baptist Agewell Physicians Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2322668) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Agewell Physicians Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist Agewell Physicians Inc 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 Baptist Agewell Physicians Inc was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.