Organization Active NPI

Kind Concierge Care, PLLC

  • Family Medicine Physician
  • Saint Johns, FL
National Provider Identifier
1730894023
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIND CONCIERGE CARE, PLLC
Practice address
60 Roberts Village CT Ste 402
Saint Johns, FL 32259-9562
Phone
(904) 629-7686
Fax
(904) 667-0812
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dr. Robert Laurence GriffinNPI 1629008073
Title
President
Phone
(904) 629-7686

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

60 Roberts Village CT Ste 402
Saint Johns, FL 32259-9562

Mailing address

60 Roberts Village CT Ste 402
Saint Johns, FL 32259-9562
Phone (904) 203-8365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230223002304 FL Part B Supplier - Clinic/Group Practice 4880067701 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Johns, FL

National Provider Directory

National Provider Directory

Locations

60 Roberts Village Ct
Ste 402
Saint Johns, FL 32259
Phone (904) 629-7686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1730894023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROBERTS VILLAGE CT STE 402",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322599562",
            "telephone_number": "904-203-8365",
            "fax_number": "904-667-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROBERTS VILLAGE CT STE 402",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322599562",
            "telephone_number": "904-629-7686",
            "fax_number": "904-667-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND CONCIERGE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-629-7686",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.