Beachside Primary Care LLC
NPI 1386364032 · Primary Care Clinic/Center · Jacksonville Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beachside Primary Care LLC is a Primary Care Clinic/Center organization in Jacksonville Beach, FL (NPI 1386364032).
Provider details
- NPI number
- 1386364032
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deborah Ghandour, President(904) 595-5826
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-09-01
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Frequently asked questions
- What is Beachside Primary Care LLC's NPI number?
- Beachside Primary Care LLC's National Provider Identifier (NPI) is 1386364032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beachside Primary Care LLC?
- Beachside Primary Care LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Beachside Primary Care LLC located?
- Beachside Primary Care LLC's practice location on file with NPPES is 1825 3rd St N Ste B, Jacksonville Beach, FL 32250-4840.
- What is Beachside Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Beachside Primary Care LLC is (904) 595-5826.
- Does Beachside Primary Care LLC accept Medicare?
- Beachside Primary Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beachside Primary Care LLC?
- The authorized official listed on Beachside Primary Care LLC's NPPES record is Deborah Ghandour, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beachside Primary Care LLC's NPI active?
- Yes — Beachside Primary Care LLC's NPI (1386364032) is active in the NPPES registry as of the last update on 2022-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.