NPIMap

Organization Active NPI

Birth & Wellness Center of Gainesville, LLC

  • Birthing Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1104182252
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
335 Issued in FL
Legal business name
BIRTH & WELLNESS CENTER OF GAINESVILLE, LLC
Practice address
815 Stockton St
Jacksonville, FL 32204-3521
Phone
(904) 990-3619
Fax
(904) 562-3402
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Crickmore, LMNPI 1700325834
Title
Owner/Midwife
Phone
(352) 278-4746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 335 FL Primary

Addresses

Primary practice location

815 Stockton St
Jacksonville, FL 32204-3521

Mailing address

815 Stockton St
Jacksonville, FL 32204-3521
Phone (904) 990-3619

Other names 1

  • First Coast Midwifery & Birth Center Doing business as

National Provider Directory

National Provider Directory

Locations

815 Stockton St
Jacksonville, FL 32204
Phone (904) 990-3619

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1104182252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 STOCKTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043521",
            "telephone_number": "904-990-3619",
            "fax_number": "904-562-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 STOCKTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043521",
            "telephone_number": "904-990-3619",
            "fax_number": "904-562-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH & WELLNESS CENTER OF GAINESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "CRICKMORE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/MIDWIFE",
        "authorized_official_telephone_number": "352-278-4746",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "FL",
            "license": "335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Coast Midwifery & Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.