Organization Active NPI

Genesis Totalhealth and Wellness Center

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1104654037
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GENESIS TOTALHEALTH AND WELLNESS CENTER
Practice address
10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566
Phone
(330) 518-3999
NPI assigned
Jul 23, 2024
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Tamara Dukes, APRNNPI 1821606229
Title
Ceo
Phone
(330) 518-3999

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566

Mailing address

3951 Sherman Hills Pkwy W
Jacksonville, FL 32210-0436
Phone (330) 518-3999

Other practice location 1

514 Chaffee Point Blvd Ste 9
Jacksonville, FL 32221-4131
Phone (330) 518-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203000096 FL Part B Supplier - Clinic/Group Practice 9830624642 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

514 Chaffee Point Blvd
Ste 9
Jacksonville, FL 32221
Phone (330) 518-3999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1104654037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 SHERMAN HILLS PKWY W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322100436",
            "telephone_number": "330-518-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 DEERWOOD PARK BLVD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560566",
            "telephone_number": "330-518-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Chaffee Point Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322214131",
            "country_code": "US",
            "telephone_number": "330-518-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS TOTALHEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-518-3999",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.