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AGAPE COMMUNITY HEALTH CENTER, INC.
NPI 1962867762
Clinic/Center - Federally Qualified Health Center (FQHC) in Jacksonville, FL

Active since December 21, 2015
120 KING ST, JACKSONVILLE, FL 32204(904) 760-4904(904) 930-4607 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2020, Dec 21, 2015 (2 updates tracked since 2015).

About Agape Community Health Center, Inc. NPPES

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

AGAPE COMMUNITY HEALTH CENTER, INC. (NPI 1962867762) is a healthcare organization registered as a federally qualified health center (fqhc) in Jacksonville, Florida and active in the NPI registry since December 2015. The organization lists Mia L Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962867762
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAGAPE COMMUNITY HEALTH CENTER, INC.
Location Address120 KING STJacksonville, FL 32204-2410
Mailing Address120 King StJacksonville, FL 32204-2410 · (904) 760-4904
Phone(904) 760-4904
Fax(904) 930-4607
Organization SubpartNo
Authorized OfficialMia L JonesCeo · (904) 253-1069
Enumeration DateDecember 21, 2015
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
✔ NPI 1962867762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in FL · N04000004094
120 KING ST, Jacksonville, FL 32204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agape Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Agape Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Family Practice10
Nurse Practitioner10
Pediatric Medicine3
Certified Nurse Midwife (CNM)2
Psychiatry2
Clinical Social Worker1

Nearest to this location (20)

See all 28
Erica Imaoka, DNP
Certified Nurse Midwife (CNM)
NPI 1659025518
120 KING ST
Jacksonville, FL 32204
(904) 760-4904
✔ PECOSSame address
Wendy King, APRN
Nurse Practitioner
NPI 1336781772
120 KING ST
Jacksonville, FL 32204
(904) 760-4904
✔ PECOSSame address
Knetra Pendleton, APRN
Nurse Practitioner
NPI 1013382126
120 KING ST
Jacksonville, FL 32204
(904) 760-4904
✔ PECOSSame address
Paula Twyman, FNP-BC
Nurse Practitioner
NPI 1285294744
120 KING ST
Jacksonville, FL 32204
(904) 760-4904
✔ PECOS✔ Accepts MedicareSame address
Jonathan Carbungco, DO
Family Practice
NPI 1306576657
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS✔ Accepts Medicare1.4 mi
Jan Dela Cruz, DO
Family Practice
NPI 1285364547
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS✔ Accepts Medicare1.4 mi
Jasmine Thompson, MD
Family Practice
NPI 1881324184
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS1.4 mi
Anna Tran, DO
Family Practice
NPI 1528492899
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS1.4 mi
Christopher Watson, M.D.
Family Practice
NPI 1972990141
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS1.4 mi
Danielle Carter, M.D.
Family Practice
NPI 1508187451
2627 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 308-7372
✔ PECOS✔ Accepts Medicare1.4 mi
Kendra Seccombe, APRN
Nurse Practitioner
NPI 1083073365
836 PRUDENTIAL DR STE 1202
Jacksonville, FL 32207
(904) 493-5323
✔ PECOS✔ Accepts Medicare2.3 mi
Kenya Dennis-Cowart, APRN
Nurse Practitioner
NPI 1073193868
515 W 6TH ST
Jacksonville, FL 32206
(904) 253-1268
✔ PECOS2.4 mi
Angela Still
Clinical Social Worker
NPI 1053858415
3027 SAN DIEGO RD
Jacksonville, FL 32207
(904) 493-7744
✔ PECOS4.4 mi
Michelle Bell, MD
Pediatric Medicine
NPI 1356354328
2340 SOUTEL DR
Jacksonville, FL 32208
(904) 924-7117
✔ PECOS5.4 mi
Vincent Ober, M.D.
Family Practice
NPI 1669432423
5614 SAN JOSE BOULEVARD SAN JOSE FAMILY PRACTICE CENTER
Jacksonville, FL 32207
(904) 633-0475
✔ PECOS✔ Accepts Medicare5.6 mi
Shaunetra Toler, ARNP
Nurse Practitioner
NPI 1225576499
4615 PHILIPS HWY STE 3
Jacksonville, FL 32207
(904) 508-0710
✔ PECOS✔ Accepts Medicare5.8 mi
Alyssa Tawil, DO
Family Practice
NPI 1801526173
3101 UNIVERSITY BLVD S STE 200
Jacksonville, FL 32216
(904) 760-4904
✔ PECOS6.2 mi
Kermide Laguerre
Certified Nurse Midwife (CNM)
NPI 1033965231
5460 BLANDING BLVD
Jacksonville, FL 32244
(904) 760-4904
✔ PECOS6.2 mi
Joni Kocher, APRN
Nurse Practitioner
NPI 1831557677
5460 BLANDING BLVD
Jacksonville, FL 32244
(904) 760-4904
✔ PECOS6.3 mi
Roman Criollo, M.D
Pediatric Medicine
NPI 1699834408
1680 DUNN AVE
Jacksonville, FL 32218
(904) 760-4904
✔ PECOS7.3 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Agape Community Health Center, Inc.'s NPI number?

The NPI number for Agape Community Health Center, Inc. is 1962867762. It was assigned to this organization in the NPPES registry on December 21, 2015.

Where is Agape Community Health Center, Inc. located?

Agape Community Health Center, Inc. is located at 120 King St, Jacksonville, FL 32204. The listed phone number is (904) 760-4904.

What is Agape Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Agape Community Health Center, Inc. enrolled in Medicare?

Yes. Agape Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agape Community Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 6 Medicare specialties reassign their Medicare billing to Agape Community Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (10), Nurse Practitioner (10) and Pediatric Medicine (3). Of these, 4 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Agape Community Health Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Agape Community Health Center, 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 Agape Community Health Center, Inc. was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.