OrganizationActive
Baptist Agewell Physicians Inc
NPI 1710464946 · Geriatric Medicine (Internal Medicine) Physician · Jacksonville Beach, FL
Provider details
- NPI number
- 1710464946
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marsha Donaldson, Vice President(904) 376-3703
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1350 13th Ave S Ste 118-A
Jacksonville Beach, FL 32250-3203
Phone: (904) 202-4600
Fax: (904) 202-4639
Street-level locationGet directions
Mailing address
Po Box 3162
Salt Lake City, UT 84110-3162
Registry dates
- Enumerated
- 2018-07-20
- Last updated
- 2018-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.