FIRST COAST COMMUNITY DEVELOPMENT
NPI 1710648316
Internal Medicine - Infectious Disease in Jacksonville, FL

NPI Status: Active since January 05, 2022

Contact Information

525 N NEWNAN ST
JACKSONVILLE, FL
ZIP 32202
Phone: (904) 379-8383
Fax: (904) 358-5618

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  • Organization
  • Internal Medicine
  • Infectious Disease
  • CLIA Number: 10D2252787
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 02-14-2026

About FIRST COAST COMMUNITY DEVELOPMENT

This page provides the complete NPI Profile along with additional information for First Coast Community Development, an internist established in Jacksonville, Florida operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1710648316 assigned on January 2022. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Charlie Griffin (Ceo/president)

NPI
1710648316
Provider Name
FIRST COAST COMMUNITY DEVELOPMENT
Entity Type
Organization
Location Address
525 N NEWNAN ST JACKSONVILLE, FL 32202
Location Phone
(904) 379-8383
Location Fax
(904) 358-5618
Mailing Address
525 N NEWNAN ST JACKSONVILLE, FL 32202
Mailing Phone
(904) 379-8383
Mailing Fax
(904) 358-5618
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2022
Last Update Date
06-09-2025
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An internist like First Coast Community Development is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2251S00000XAgencies

Community/Behavioral Health

 
3251V00000XAgencies

Voluntary or Charitable

 
4261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLIE GRIFFIN

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(904) 866-7483

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2252787
Facility Type
Mobile Laboratory
Certificate Effective Date
February 15, 2024
Certificate Expiration Date
February 14, 2026
Laboratory Director
MICHAEL R. LAMKIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to First Coast Community Development to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710648316, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 2 + 4 + 1 + 6 + 3 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1710648316.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
525 N NEWNAN ST
JACKSONVILLE, FL 32202
Pharmacy (Community/Retail Pharmacy)
525 N NEWNAN ST
JACKSONVILLE, FL 32202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710648316, enumerated as an "organization" on January 05, 2022.

The provider is located at 525 N NEWNAN ST JACKSONVILLE, FL 32202 and the phone number is (904) 379-8383.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.