Active NPI
Elevate Functional Wellness and Primary Care, Inc
- Primary Care Clinic/Center
- Ponte Vedra, FL
National Provider Identifier
1720899032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2026
- 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
- Ms. Amy L Grobstick, APRN, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Ponte Vedra Beach, FL
- NPI 1881995140
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.