OrganizationActive
Bluebird Medical & Wellness Corp
NPI 1992475289 · Family Medicine Physician · Ponte Vedra, FL
Provider details
- NPI number
- 1992475289
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anna Moyer, President(904) 600-4099
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health & Wellness Coach171400000X
Other Service Providers
- Ambulatory Care Pharmacist1835P2201X
Pharmacy Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
145 Hilden Rd Ste 102
Ponte Vedra, FL 32081-8401
Phone: (904) 600-4099
Fax: (904) 484-7919
Street-level locationGet directions
Mailing address
145 Hilden Rd Ste 102
Ponte Vedra, FL 32081-8401
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.