904 Health, Inc
NPI 1699487678 · Primary Care Clinic/Center · Yulee, FL
904 Health, Inc is a Primary Care Clinic/Center organization in Yulee, FL (NPI 1699487678).
Provider details
- NPI number
- 1699487678
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendy Kelly, Office Administrator(563) 650-2158
Specialties & taxonomies
Ambulatory Health Care Facilities
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
- Public Health or Welfare Agency251K00000X
Agencies
- Health Service Clinic/Center261QH0100X
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
12 documented practice locations
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
Other names (DBA / former)
- Other name
- Manager
- Other name
- Manager
Additional practice locations (11)
- 2102 14th St WBradenton, FL 34205-6351Phone: (904) 900-1513Fax: (904) 575-4944
- 320 Oakfield DrBrandon, FL 33511-5723Phone: (904) 900-1513Fax: (904) 575-4944
- 2420 S Highway 29Cantonment, FL 32533-5808Phone: (904) 900-1513Fax: (904) 575-4944
- 1823 Business Park BlvdDaytona Beach, FL 32114-1230Phone: (904) 900-1513Fax: (904) 575-4944
- 4427 Emerson St Ste aJacksonville, FL 32207-4969Phone: (904) 900-1513Fax: (904) 575-4944
- 1241 Blanding Blvd Ste 5Orange Park, FL 32065-5908Phone: (904) 900-1513Fax: (904) 575-4944
- 57 Town Ct Ste 215Palm Coast, FL 32164-2425Phone: (904) 900-1513Fax: (904) 575-4944
- 5951 Clark Center Ave Unit BSarasota, FL 34238-2717Phone: (904) 900-1513
Registry dates
- Enumerated
- 2022-12-21
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Frequently asked questions
- What is 904 Health, Inc's NPI number?
- 904 Health, Inc's National Provider Identifier (NPI) is 1699487678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 904 Health, Inc?
- 904 Health, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is 904 Health, Inc located?
- 904 Health, Inc's practice location on file with NPPES is 96040 Lofton Square Ct, Yulee, FL 32097-6347.
- What is 904 Health, Inc's phone number?
- The practice phone number listed in the NPPES registry for 904 Health, Inc is (904) 659-2475.
- Who is the authorized official for 904 Health, Inc?
- The authorized official listed on 904 Health, Inc's NPPES record is Wendy Kelly, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 904 Health, Inc's NPI active?
- Yes — 904 Health, Inc's NPI (1699487678) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.