OrganizationActive
Koinonia Dynamisinc
NPI 1730536772 · Community/Behavioral Health Agency · Jacksonville, FL
Koinonia Dynamisinc is a Community/Behavioral Health Agency organization in Jacksonville, FL (NPI 1730536772).
Provider details
- NPI number
- 1730536772
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Addris Vinson, Ceo(904) 536-4371
- License
- MH90 (FL)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2979 Centerwood Dr
Jacksonville, FL 32218-9208
Phone: (904) 536-4371
Street-level locationGet directions
Mailing address
2979 Centerwood Dr
Jacksonville, FL 32218-9208
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2016-05-19
Frequently asked questions
- What is Koinonia Dynamisinc's NPI number?
- Koinonia Dynamisinc's National Provider Identifier (NPI) is 1730536772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koinonia Dynamisinc?
- Koinonia Dynamisinc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Koinonia Dynamisinc located?
- Koinonia Dynamisinc's practice location on file with NPPES is 2979 Centerwood Dr, Jacksonville, FL 32218-9208.
- What is Koinonia Dynamisinc's phone number?
- The practice phone number listed in the NPPES registry for Koinonia Dynamisinc is (904) 536-4371.
- Who is the authorized official for Koinonia Dynamisinc?
- The authorized official listed on Koinonia Dynamisinc'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 Dynamisinc's NPI active?
- Yes — Koinonia Dynamisinc's NPI (1730536772) is active in the NPPES registry as of the last update on 2016-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.