OrganizationActive
Primecare Family Medicine LLC
NPI 1184854465 · Family Medicine Physician · Daytona Beach, FL
Provider details
- NPI number
- 1184854465
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnsie Grigg, President(386) 274-2212
- License
- ME47294 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1890 Lpga Blvd
Suite 130
Daytona Beach, FL 32117-7130
Phone: (386) 274-2212
Fax: (386) 274-1508
Street-level locationGet directions
Mailing address
1890 Lpga Blvd
Daytona Beach, FL 32117-7130
Registry dates
- Enumerated
- 2009-07-21
- Last updated
- 2009-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.