BAPTIST PRIMARY CARE INC - NPI 1013160704 - Family Medicine in Jacksonville, FL

Q: What is Baptist Primary Care Inc's NPI number?

The NPI number for Baptist Primary Care Inc is 1013160704. It was assigned to this organization in the NPPES registry on October 28, 2008.

Q: What is Baptist Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Baptist Primary Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST PRIMARY CARE INC (NPI 1013160704) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013160704

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBAPTIST PRIMARY CARE INC

Location Address532 RIVERSIDE AVE STE 103Jacksonville, FL 32202-4914

Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107

Phone(904) 353-5696

Fax(904) 390-7483

Organization SubpartNo

Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703

Enumeration DateOctober 28, 2008

Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1013160704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

532 RIVERSIDE AVE STE 103, Jacksonville, FL 32202

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0268307

Baptist Primary Care Inc · Jacksonville, FL

Active · expires Aug 31, 2026

CLIA Number10D0268307

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorTra Chella J. Foy

Laboratory Phone(904) 353-5696

Laboratory LocationBaptist Primary Care Inc532 Riverside Ave - Ste 103, Jacksonville, FL 32202

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISAAC M KINMAN D.O.

Family Medicine