Centerwell Senior Primary Care Fl Jv PLLC
NPI 1003643214 · Internal Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centerwell Senior Primary Care Fl Jv PLLC is a Internal Medicine Physician organization in Jacksonville, FL (NPI 1003643214).
Provider details
- NPI number
- 1003643214
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centerwell Senior Primary Care Fl Jv PLLC
- Organization subpart
- Yes
- Authorized official
- Angie Martinez, Senior Credentialing Professional(407) 447-7120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Conviva Philips Highway
- Doing business as
- Conviva Philips Highway
Registry dates
- Enumerated
- 2024-09-19
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Frequently asked questions
- What is Centerwell Senior Primary Care Fl Jv PLLC's NPI number?
- Centerwell Senior Primary Care Fl Jv PLLC's National Provider Identifier (NPI) is 1003643214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centerwell Senior Primary Care Fl Jv PLLC?
- Centerwell Senior Primary Care Fl Jv PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Centerwell Senior Primary Care Fl Jv PLLC located?
- Centerwell Senior Primary Care Fl Jv PLLC's practice location on file with NPPES is 4250 Philips Hwy # 100, Jacksonville, FL 32207-6730.
- What is Centerwell Senior Primary Care Fl Jv PLLC's phone number?
- The practice phone number listed in the NPPES registry for Centerwell Senior Primary Care Fl Jv PLLC is (904) 839-1018.
- Does Centerwell Senior Primary Care Fl Jv PLLC accept Medicare?
- Centerwell Senior Primary Care Fl Jv PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centerwell Senior Primary Care Fl Jv PLLC?
- The authorized official listed on Centerwell Senior Primary Care Fl Jv PLLC's NPPES record is Angie Martinez, Senior Credentialing Professional. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centerwell Senior Primary Care Fl Jv PLLC's NPI active?
- Yes — Centerwell Senior Primary Care Fl Jv PLLC's NPI (1003643214) is active in the NPPES registry as of the last update on 2024-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.