Active NPI
First Coast Community Development
- Infectious Disease Physician
- Jacksonville, FL
National Provider Identifier
1710648316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Development
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Jacksonville, FL
- NPI 1770276099
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.
-
- Pharmacist
- Jacksonville, FL
- NPI 1992087290
-
- Psychiatric/Mental Health Nurse Practitioner
- Jacksonville, FL
- NPI 1821631045
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
- First Coast Cardiovascular Institute, LLC
- First Coast Cardiovascular Institute, LLC
- First Coast Cardiovascular Institute, LLC
- First Coast Cardiovascular Surgical Center, LLC
- First Coast Caregivers, LLC (Visiting Angels)
- First Coast Community Development
- First Coast Community Support Services
- First Coast Community Support Services
- First Coast Community Wellness Services LLC
- First Coast Counseling and Life Coaching, Inc.
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.