Organization Active NPI

Camden Elite Care LLC

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1881219277
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CAMDEN ELITE CARE LLC
Practice address
10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Phone
(904) 528-6357
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
La Toya Dawson
Title
Billing Director
Phone
(352) 231-7551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991

Mailing address

10257 Magnolia Ridge Dr
Jacksonville, FL 32210-4991
Phone (904) 528-6357

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jacksonville

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1881219277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10257 MAGNOLIA RIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104991",
            "telephone_number": "904-528-6357",
            "fax_number": "646-337-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10257 MAGNOLIA RIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104991",
            "telephone_number": "904-528-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN ELITE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LA TOYA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "352-231-7551"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "address_1": "10257 Magnolia Ridge Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322104991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 4, 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.