Baptist Agewell Physicians Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

BAPTIST AGEWELL PHYSICIANS INC

Practice address

98 Nocatee Village Dr
Ponte Vedra, FL 32081-6152

Phone

(904) 202-4243

Fax

(904) 390-7415

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Marsha Donaldson

Title

Vice President

Phone

(904) 202-2141

Specialties & licenses 2

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 (Internal Medicine) Physician
  • Fernandina Beach, FL
  • NPI 1407746969
  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 (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": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1679240337",
    "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": "98 NOCATEE VILLAGE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816152",
            "telephone_number": "904-202-4243",
            "fax_number": "904-390-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST AGEWELL PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-202-2141"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.