BAPTIST PRIMARY CARE INC
NPI 1023370459
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jacksonville, FL

Active since June 12, 2012CLIA 10D2041854 · Waiver
11945 SAN JOSE BLVD, SUITE 301, JACKSONVILLE, FL 32223(904) 260-9699(904) 260-9695 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1023370459) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Jacksonville, Florida and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through May 29, 2028 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023370459
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address11945 SAN JOSE BLVD, SUITE 301Jacksonville, FL 32223-1613
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Fax(904) 260-9695
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateJune 12, 2012
Last NPPES UpdateDecember 14, 2018
✔ NPI 1023370459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
11945 SAN JOSE BLVD, Jacksonville, FL 32223

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baptist Primary Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

567

Medicare enrollment records show 567 clinicians reassign Medicare billing to Baptist Primary Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 131 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Family Practice185
Hospitalist156
Nurse Practitioner105
Internal Medicine83
Infectious Disease16
Rheumatology10
Endocrinology6
Critical Care (Intensivists)2
3 other specialties4

Nearest to this location (20)

See all 567
Endocrinology
NPI 1043318132
11945 SAN JOSE BLVD STE 301
Jacksonville, FL 32223
(904) 260-9699
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1508186727
11945 SAN JOSE BLVD SUITE 301
Jacksonville, FL 32223
(904) 260-9016
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932186285
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS1.1 mi
Internal Medicine
NPI 1982020319
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1366948077
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1225359557
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1851739825
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1306425079
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1366861981
14830 INGLE LN
Jacksonville, FL 32223
(205) 223-6261
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1871301010
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1396236469
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1275142853
11401 OLD SAINT AUGUSTINE RD
Jacksonville, FL 32258
(904) 260-1818
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1922449180
10337 SAN JOSE BLVD STE 200
Jacksonville, FL 32257
(904) 260-3200
✔ PECOS✔ Accepts Medicare2.6 mi
Osteopathic Manipulative Medicine
NPI 1588631659
10240 SAN JOSE BLVD
Jacksonville, FL 32257
(904) 262-9204
✔ PECOS✔ Accepts Medicare2.7 mi
Rheumatology
NPI 1144424722
9765 SAN JOSE BLVD STE 103
Jacksonville, FL 32257
(904) 517-8222
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1720299449
2570 RACE TRACK RD STE A
Saint Johns, FL 32259
(904) 819-1005
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1093087579
2300 PARK AVE STE 200
Orange Park, FL 32073
(904) 269-2900
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1811172448
1008 PARK AVE STE A
Orange Park, FL 32073
(904) 264-9293
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1275302705
8789 SAN JOSE BLVD STE 111
Jacksonville, FL 32217
(904) 376-3500
✔ PECOS✔ Accepts Medicare4.6 mi
Internal Medicine
NPI 1639596752
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS✔ Accepts Medicare4.9 mi
See all 567 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2041854

Baptist Primary Care · Jacksonville, FL
Active · expires May 29, 2028
CLIA Number10D2041854
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorSirlys Arcon Rios
Laboratory Phone(904) 260-9699
Laboratory LocationBaptist Primary Care11945 San Jose Blvd Ste 301, Jacksonville, FL 32223
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist Primary Care Inc's NPI number?

The NPI number for Baptist Primary Care Inc is 1023370459. It was assigned to this organization in the NPPES registry on June 12, 2012.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 11945 San Jose Blvd Suite 301, Jacksonville, FL 32223. The listed phone number is (904) 260-9699.

What is Baptist Primary Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Baptist Primary Care Inc enrolled in Medicare?

Yes. Baptist Primary Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Primary Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 567 clinicians in 11 Medicare specialties reassign their Medicare billing to Baptist Primary Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (185), Hospitalist (156) and Nurse Practitioner (105). Of these, 2 practice at this address and 131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2041854) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Primary Care Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist Primary Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baptist Primary Care Inc was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.