BAPTIST PRIMARY CARE INC
NPI 1073794038
Family Medicine in Jacksonville, FL

Active since November 19, 2007CLIA 10D0860448 · Microscopy
1403 DUNN AVE, SUITE 26, JACKSONVILLE, FL 32218(904) 696-6900(904) 696-1981 Get Directions Write a Review

NPPES record last updated: December 12, 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 1073794038) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through December 21, 2027 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073794038
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address1403 DUNN AVE, SUITE 26Jacksonville, FL 32218-6346
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Fax(904) 696-1981
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 19, 2007
Last NPPES UpdateDecember 12, 2018
✔ NPI 1073794038 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
1403 DUNN AVE, Jacksonville, FL 32218

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

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, 252 practice 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
Internal Medicine
NPI 1083691620
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1548498512
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1013989524
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1184209249
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1154399335
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1821606229
4750 SOUTEL DR STE 10
Jacksonville, FL 32208
(904) 836-5486
✔ PECOS3.6 mi
Family Practice
NPI 1407430556
524 SKYMARKS DR STE 1
Jacksonville, FL 32218
(904) 696-7333
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1598145328
524 SKYMARKS DR STE 1
Jacksonville, FL 32218
(904) 696-7333
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1669033775
524 SKYMARKS DR STE 1
Jacksonville, FL 32218
(904) 696-7333
✔ PECOS✔ Accepts Medicare3.9 mi
Internal Medicine
NPI 1316338957
5238 NORWOOD AVE STE 16
Jacksonville, FL 32208
(305) 663-4822
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1134474588
15255 MAX LEGGETT PKWY STE 3900
Jacksonville, FL 32218
(904) 383-1000
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1801096037
12341 YELLOW BLUFF RD
Jacksonville, FL 32226
(904) 757-8308
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1245282482
12341 YELLOW BLUFF RD
Jacksonville, FL 32226
(904) 757-8308
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1275255226
5491 DOLPHIN POINT BLVD STE 3110
Jacksonville, FL 32211
(904) 744-5244
✔ PECOS✔ Accepts Medicare6.1 mi
Hospitalist
NPI 1144615725
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare7.9 mi
Infectious Disease
NPI 1740245018
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare7.9 mi
Internal Medicine
NPI 1326017856
820 PRUDENTIAL DR STE 304 CREDENTIALING DEPARTMENT
Jacksonville, FL 32207
(904) 348-0974
✔ PECOS7.9 mi
Critical Care (Intensivists)
NPI 1851788863
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare7.9 mi
Pulmonary Disease
NPI 1023242666
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare7.9 mi
Rheumatology
NPI 1437132586
1660 PRUDENTIAL DR SUITE 310
Jacksonville, FL 32207
(904) 396-8656
✔ PECOS✔ Accepts Medicare7.9 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 for Provider-Performed Microscopy Procedures (PPMP) 10D0860448

Baptist Primary Care · Jacksonville, FL
Active · expires Dec 21, 2027
CLIA Number10D0860448
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorBaltazar Orallo
Laboratory Phone(904) 696-6900
Laboratory LocationBaptist Primary Care11236 Baptist Health Dr Ste 220, Jacksonville, FL 32218
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1073794038. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 1403 Dunn Ave Suite 26, Jacksonville, FL 32218. The listed phone number is (904) 696-6900.

What is Baptist Primary Care Inc's specialty?

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

Is Baptist Primary Care Inc enrolled in Medicare?

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

Does Baptist Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0860448) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baptist Primary Care Inc was last updated on December 12, 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.