Organization Active NPI

First Coast Community Development

  • Infectious Disease Physician
  • Jacksonville, FL
National Provider Identifier
1710648316
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
FIRST COAST COMMUNITY DEVELOPMENT
Practice address
525 N Newnan St
Jacksonville, FL 32202-3121
Phone
(904) 379-8383
Fax
(904) 358-5618
NPI assigned
Jan 5, 2022
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Charlie Griffin
Title
Ceo/President
Phone
(904) 866-7483

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Voluntary or Charitable Agency 251V00000X NU
Health Service Clinic/Center 261QH0100X NU
Infectious Disease Physician 207RI0200X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

525 N Newnan St
Jacksonville, FL 32202-3121

Mailing address

525 N Newnan St
Jacksonville, FL 32202-3121
Phone (904) 379-8383

National Provider Directory

National Provider Directory
Tax ID family
First Coast Community Development2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1710648316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N NEWNAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023121",
            "telephone_number": "904-379-8383",
            "fax_number": "904-358-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N NEWNAN ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023121",
            "telephone_number": "904-379-8383",
            "fax_number": "904-358-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST COMMUNITY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "904-866-7483"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 9, 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.