Deep Roots Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEEP ROOTS HEALTHCARE LLC

Practice address

431 Selva Lakes Cir
Atlantic Beach, FL 32233-4355

Phone

(904) 290-3234

NPI assigned

Feb 24, 2026

Organization subpart

No

Name

John Cobb, ARNPNPI 1538779483

Title

Owner

Phone

(904) 535-6101

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

• John Cobb, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1538779483

  Family

  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2026.

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1982558078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD STE 404",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "904-290-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SELVA LAKES CIR",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322334355",
            "telephone_number": "904-290-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP ROOTS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-535-6101",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Wound Care
• Korina L Cortes
• Isabella Cousineau
• Matthew Jordan Crenshaw
• Stephen T. Davis, P.T.
• Tami Deitchman, APRN
• Danielle Deluca, M. ED, BCBA
• Gretchen Deters-Smith, LMFT
• Georgina Di Brino
• Brianna Diamond

• All providers in Atlantic Beach, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.