Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Baptist Agewell Physicians Inc

Organization Social Worker · NPI 1306107099

Baptist Agewell Physicians Inc is a Social Worker in Jacksonville, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3563 Philips Hwy Ste 101
Jacksonville, FL 32207-5627
Phone: (904) 202-2092
Fax: (904) 376-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Social Worker Taxonomy 104100000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1306107099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Tibbs — Vice President · (904) 202-3283
NPI enumeratedMay 30, 2012
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing addressPo Box 746636, Atlanta, GA 30374-6636

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