BAPTIST AGEWELL PHYSICIANS INC – NPI #1023595105
Family Medicine

A family medicine physician with 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.

Health Care Provider Taxonomy Code for Family Medicine

BAPTIST AGEWELL PHYSICIANS INC is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1023595105 to BAPTIST AGEWELL PHYSICIANS INC on July 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Mar 03, 2026. 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
1023595105
Enumeration Date

(about 8 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
1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207-8567
Phone: (904) 202-4243 Fax: (904) 390-7415
Mailing address
PO BOX 746636
ATLANTA, GA 30374-6636
Phone: (904) 202-2092 Fax: (904) 376-4075
Organization Subpart
No
Authorized Official
ELIZABETH TIBBS
VICE PRESIDENT
Phone: (904) 202-3283
Updated
Certification Date
Mar 03, 2026

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.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)		 FL

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.