Christina Anderson Conner, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME118737 Issued in FL

Practice address

950 Marsh Landing Pkwy Ste 105a
Jacksonville Beach, FL 32250-1408

Phone

(904) 280-1225

Fax

(904) 390-7504

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Christina Kay Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cconner28494@baptisthealthsystemjacksonville.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Primary Care Inc

  • Pediatrics Physician
  • Jacksonville Beach, FL
  • NPI 1508475815
  NPD
• Baptist Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1508817529

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1982865283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2029",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MARSH LANDING PKWY STE 105A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501408",
            "telephone_number": "904-280-1225",
            "fax_number": "904-390-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 San Jose Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322174612",
            "country_code": "US",
            "telephone_number": "904-731-3530",
            "fax_number": "904-390-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320816236",
            "country_code": "US",
            "telephone_number": "904-696-7577",
            "fax_number": "904-390-7513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "CHRISTINA",
        "middle_name": "ANDERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201100870",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME118737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME118737",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "201100870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ANDERSON",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Commonwealth Mediation Services, Inc.
• Commonwealth Mediation Services, Inc.
• Concierge Physio LLC
• Nicolas Charles Condrey, PA-C
• Dana Conilogue, DPT
• Cathleen Teresa Connolly, PH.D.
• Mikayla Emerald Cooper, RD
• Rebecca Cooper, MD
• Tara Cooper, HEALTH COACH
• Alicia Sanders Corbin, M.ED. CCC-SLP

• Pediatrics Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.