Baptist Agewell Physicians Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

BAPTIST AGEWELL PHYSICIANS INC

Practice address

1545 S 14TH St
Fernandina Beach, FL 32034-3049

Phone

(904) 202-4243

Fax

(904) 390-7415

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Elizabeth Tibbs

Title

Vice President

Phone

(904) 202-3283

Specialties & licenses 6

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Baptist Agewell Physicians Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Baptist Agewell Physicians Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1023595105
  NPD tax ID
• Baptist Agewell Physicians Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Neptune Beach, FL
  • NPI 1124788146
  NPD tax ID
• Baptist Agewell Physicians Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1447139829
  NPD tax ID
• Baptist Agewell Physicians Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Ponte Vedra, FL
  • NPI 1679240337
  NPD tax ID
• Baptist Agewell Physicians Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville Beach, FL
  • NPI 1710464946
  NPD tax ID

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1407746969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746636",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746636",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343049",
            "telephone_number": "904-202-4243",
            "fax_number": "904-390-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST AGEWELL PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "TIBBS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-202-3283"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeeshan Sarwar Aziz, M.D.
• Jessica S Bahorski, ARNP, MSN
• Jolaunda Bailey
• Theresa E Baker, PSY.D.
• Sarah McAllister Baldwin, MA CCC-SLP
• Baptist Cardiology, Inc. (Baptist Heart Specialists)
• Baptist ENT Specialists Inc
• Baptist Medical Center of Nassau Inc (Baptist Medical Center Nassau)
• Baptist Neurology Inc
• Baptist Obstetrics and Gynecology Inc

• Geriatric Medicine (Internal Medicine) Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.