OrganizationActive
Concentra Medical Center-Jax Northside
NPI 1629264288 · Health Service Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1629264288
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tom Fogarty, Evp, Cmo(800) 232-3550
Specialties & taxonomies
Ambulatory Health Care Facilities
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
1215 Dunn Ave
Ste. 7
Jacksonville, FL 32218-6330
Phone: (904) 757-5656
Fax: (904) 757-5650
Street-level locationGet directions
Mailing address
5080 Spectrum Dr
Addison, TX 75001-4648
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2007-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.