Organization Active NPI

Elevate Functional Wellness and Primary Care, Inc

  • Primary Care Clinic/Center
  • Ponte Vedra, FL
National Provider Identifier
1720899032
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELEVATE FUNCTIONAL WELLNESS AND PRIMARY CARE, INC
Practice address
820 A1A N Ste E17
Ponte Vedra, FL 32082-3227
Phone
(904) 686-2504
NPI assigned
Jan 16, 2025
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Ms. Amy L Grobstick, APRN, FNP-BCNPI 1881995140
Title
Owner/Operator
Phone
(904) 866-9551

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

820 A1A N Ste E17
Ponte Vedra, FL 32082-3227

Mailing address

868 Shoreline Cir
Ponte Vedra Beach, FL 32082-2741
Phone (904) 776-9126

National Provider Directory

National Provider Directory

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1720899032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 SHORELINE CIR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822741",
            "telephone_number": "904-776-9126",
            "fax_number": "570-554-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 A1A N STE E17",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823227",
            "telephone_number": "904-686-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE FUNCTIONAL WELLNESS AND PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "GROBSTICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-866-9551",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.