OrganizationActive
Baptist Agewell Physicians Inc
NPI 1124788146 · Geriatric Medicine (Family Medicine) Physician · Neptune Beach, FL
Provider details
- NPI number
- 1124788146
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Tibbs, Executive Director(904) 202-3283
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Practice location
700 3rd St Ste 102
Neptune Beach, FL 32266-5082
Phone: (904) 202-4243
Fax: (904) 202-4639
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746636
Atlanta, GA 30374-6636
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.