Southbrdge Health and Wellness LLC
NPI 1043089998 · Adult Health Nurse Practitioner · Jacksonville, FL
Southbrdge Health and Wellness LLC is a Adult Health Nurse Practitioner organization in Jacksonville, FL (NPI 1043089998).
Provider details
- NPI number
- 1043089998
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dora Agyemang, Owner(912) 800-9220
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
Registry dates
- Enumerated
- 2023-12-20
- Last updated
- 2023-12-20
- Certified
- 2023-12-19
Frequently asked questions
- What is Southbrdge Health and Wellness LLC's NPI number?
- Southbrdge Health and Wellness LLC's National Provider Identifier (NPI) is 1043089998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southbrdge Health and Wellness LLC?
- Southbrdge Health and Wellness LLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southbrdge Health and Wellness LLC located?
- Southbrdge Health and Wellness LLC's practice location on file with NPPES is 476 Riverside Ave # 1905, Jacksonville, FL 32202-4912.
- What is Southbrdge Health and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Southbrdge Health and Wellness LLC is (904) 800-9220.
- Who is the authorized official for Southbrdge Health and Wellness LLC?
- The authorized official listed on Southbrdge Health and Wellness LLC's NPPES record is Dora Agyemang, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southbrdge Health and Wellness LLC's NPI active?
- Yes — Southbrdge Health and Wellness LLC's NPI (1043089998) is active in the NPPES registry as of the last update on 2023-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.