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BAYCARE MEDICAL GROUP INC
NPI 1023681863
Family Medicine in St Petersburg, FL

Active since July 20, 2021CLIA Certified · 2 labs
900 CARILLON PKWY STE 304, ST PETERSBURG, FL 33716(727) 561-0912(727) 561-9306 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baycare Medical Group Inc NPPES

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

BAYCARE MEDICAL GROUP INC (NPI 1023681863) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Lynda Gorken, Vp, Pfs, as its authorized official.

NPPES Registry Identity

NPI1023681863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address900 CARILLON PKWY STE 304St Petersburg, FL 33716-1119
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012 · (727) 281-9390
Phone(727) 561-0912
Fax(727) 561-9306
Organization SubpartNo
Authorized OfficialLynda GorkenVp, Pfs · (727) 281-9202
Enumeration DateJuly 20, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1023681863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
900 CARILLON PKWY STE 304, St Petersburg, FL 33716
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Other Names 1

Other NameCarillon Primary Care Iii

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 10D1066217

Baycare Medical Group Inc · New Port Richey, FL
Active · expires Mar 18, 2027
CLIA Number10D1066217
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorDimitri Tsalickis
Laboratory Phone(727) 561-0912
Laboratory LocationBaycare Medical Group Inc11178 State Rd 54 - Ste A, New Port Richey, FL 34655
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2108202

Baycare Medical Group Inc · Saint Petersburg, FL
Active · expires Jan 31, 2028
CLIA Number10D2108202
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorRina Bhalani
Laboratory Phone(813) 321-6563
Laboratory LocationBaycare Medical Group Inc900 Carillon Pkwy Ste 303, Saint Petersburg, FL 33716
CLIA data matches this NPI record on: Name
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 Baycare Medical Group Inc's NPI number?

The NPI number for Baycare Medical Group Inc is 1023681863. It was assigned to this organization in the NPPES registry on July 20, 2021. The provider is also known as Carillon Primary Care III.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 900 Carillon Pkwy Ste 304, St Petersburg, FL 33716. The listed phone number is (727) 561-0912.

What is Baycare Medical Group Inc's specialty?

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

Does Baycare Medical Group Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Baycare Medical Group Inc was last updated on July 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.