OrganizationActive
Orange Park Hospitalists LLC
NPI 1114106911 · Internal Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1114106911
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaime Gibbs, Credentialing Coordinator(904) 962-4271
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1800 Barrs St
Jacksonville, FL 32204-4704
Phone: (904) 276-2044
Fax: (904) 276-2106
Street-level locationGet directions
Mailing address
1893 Kingsley Ave
Orange Park, FL 32073-4491
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2008-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.