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BAYCARE MEDICAL GROUP INC
NPI 1063085504
Family Medicine in Safety Harbor, FL

Active since July 22, 2021CLIA Certified · 2 labs
1840 MEASE DR STE 404, SAFETY HARBOR, FL 34695(727) 712-0980(813) 635-2694 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: September 20, 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 1063085504) is a healthcare organization registered as a family medicine in Safety Harbor, Florida and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Lynda Gorken, Vp, as its authorized official.

NPPES Registry Identity

NPI1063085504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address1840 MEASE DR STE 404Safety Harbor, FL 34695-6606
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012
Phone(727) 712-0980
Fax(813) 635-2694
Organization SubpartNo
Authorized OfficialLynda GorkenVp · (727) 281-9202
Enumeration DateJuly 22, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1063085504 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
1840 MEASE DR STE 404, Safety Harbor, FL 34695
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Other Names 1

Other NameMease Countryside

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 10D1047218

Baycare Medical Group Inc · Safety Harbor, FL
Active · expires Oct 27, 2027
CLIA Number10D1047218
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorTimothy Zeien
Laboratory Phone(727) 712-0980
Laboratory LocationBaycare Medical Group Inc1840 Mease Dr Ste 404, Safety Harbor, FL 34695
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2162481

Baycare Medical Group, Inc · Safety Harbor, FL
Active · expires Feb 21, 2027
CLIA Number10D2162481
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorRusudan Hopman
Laboratory Phone(727) 240-0531
Laboratory LocationBaycare Medical Group, Inc1840 Mease Dr Ste 409, Safety Harbor, FL 34695
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RACHAEL L SUDDARTH PA
Physician Assistant (Surgical)
1840 MEASE DR STE 404
SAFETY HARBOR, FL 34695
Pinellas County (727) 712-0980
AILIN POURNOURI DO
Internal Medicine
1840 MEASE DR STE 404
SAFETY HARBOR, FL 34695
Pinellas County (727) 712-0980
AMY SUE BUSH ANP
Nurse Practitioner (Adult Health)
1840 MEASE DR STE 404
SAFETY HARBOR, FL 34695
Pinellas County (727) 712-0980

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 1063085504. It was assigned to this organization in the NPPES registry on July 22, 2021. The provider is also known as Mease Countryside.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 1840 Mease Dr Ste 404, Safety Harbor, FL 34695. The listed phone number is (727) 712-0980.

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 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.