BAPTIST AGEWELL PHYSICIANS INC – NPI #1306107099
Family Medicine

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.

BAPTIST AGEWELL PHYSICIANS INC is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1306107099 to BAPTIST AGEWELL PHYSICIANS INC on May 30, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAPTIST AGEWELL PHYSICIANS INC below.

NPI Profile for
BAPTIST AGEWELL PHYSICIANS INC

NPI Number
1306107099
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAPTIST AGEWELL PHYSICIANS INC
Primary location
3563 PHILIPS HWY STE 101
JACKSONVILLE, FL 32207
Phone: (904) 202-1032 Fax: (904) 376-4107
Mailing address
PO BOX 746636
ATLANTA, GA 30374-6636
Phone: (904) 202-2092 Fax: (904) 376-4075
Organization Subpart
No
Authorized Official
MARSHA DONALDSON
ADMINISTRATOR
Phone: (904) 376-3707
Updated
Certification Date
Dec 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.