OrganizationActive
Koinonia Dynamis Inc.
NPI 1366686958 · Case Management Agency · Jacksonville, FL
Koinonia Dynamis Inc. is a Case Management Agency organization in Jacksonville, FL (NPI 1366686958).
Provider details
- NPI number
- 1366686958
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Addris Vinson, Ceo(904) 354-6005
- License
- MH9044 (FL)
Specialties & taxonomies
Agencies
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
17 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
1734 Hiram St
Jacksonville, FL 32209-6105
Phone: (904) 354-6005
Fax: (904) 354-6005
Street-level locationGet directions
Mailing address
1734 Hiram St
Jacksonville, FL 32209-6105
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2009-04-27
Frequently asked questions
- What is Koinonia Dynamis Inc.'s NPI number?
- Koinonia Dynamis Inc.'s National Provider Identifier (NPI) is 1366686958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koinonia Dynamis Inc.?
- Koinonia Dynamis Inc. is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Koinonia Dynamis Inc. located?
- Koinonia Dynamis Inc.'s practice location on file with NPPES is 1734 Hiram St, Jacksonville, FL 32209-6105.
- What is Koinonia Dynamis Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Koinonia Dynamis Inc. is (904) 354-6005.
- Who is the authorized official for Koinonia Dynamis Inc.?
- The authorized official listed on Koinonia Dynamis Inc.'s NPPES record is Addris Vinson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koinonia Dynamis Inc.'s NPI active?
- Yes — Koinonia Dynamis Inc.'s NPI (1366686958) is active in the NPPES registry as of the last update on 2009-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.