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BAPTIST MD ANDERSON CANCER PHYSICIANS
NPI 1083153365
Obstetrics & Gynecology - Gynecologic Oncology in Jacksonville, FL

Active since February 20, 2017CLIA 10D2282190 · Waiver
14540 OLD SAINT AUGUSTINE RD, SUITE 2593, JACKSONVILLE, FL 32258(904) 389-3993(904) 389-3994 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2023, Feb 20, 2017 (2 updates tracked since 2017).

About Baptist Md Anderson Cancer Physicians NPPES

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

BAPTIST MD ANDERSON CANCER PHYSICIANS (NPI 1083153365) is a healthcare organization registered as a gynecologic oncology in Jacksonville, Florida and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Leeann Mengel, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083153365
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameBAPTIST MD ANDERSON CANCER PHYSICIANS INC
Location Address14540 OLD SAINT AUGUSTINE RD, SUITE 2593Jacksonville, FL 32258-7418
Mailing AddressPo Box 746654Atlanta, GA 30374-6654 · (904) 202-2092 · Fax (904) 393-7603
Phone(904) 389-3993
Fax(904) 389-3994
Organization SubpartNo
Authorized OfficialLeeann MengelAdministrator · (904) 202-7300
Enumeration DateFebruary 20, 2017
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1083153365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

14540 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258
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Other Names 1

Doing Business AsBaptist Md Anderson Cancer Physicians

Other Identifiers 2

Medicaid009942200FL
OtherDU3570FL · Rr Medicare

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 10D2282190

Baptist MD Anderson Cancer Physicians, Inc · Jacksonville, FL
Active · expires May 17, 2027
CLIA Number10D2282190
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorKimberly Labree
Laboratory Phone(904) 202-7397
Laboratory LocationBaptist MD Anderson Cancer Physicians, Inc14546 Old St. Augustine Road, Suite 100, Jacksonville, FL 32258
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 11

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

JOHN MICHAEL TIERNEY PA
Physician Assistant
14540 OLD SAINT AUGUSTINE RD, SUITE 2201
JACKSONVILLE, FL 32258
Duval County (904) 880-1260
DR. BENJAMIN M PIPERNO MD
Surgery
14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
DR. CAMERON DAVID ADKISSON MD
Surgery
14540 OLD SAINT AUGUSTINE RD, 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
ALANA MICHELLE WEATHERLY PA-C
Physician Assistant
14540 OLD SAINT AUGUSTINE RD, SUITE 2391
JACKSONVILLE, FL 32258
Duval County (904) 262-3372
MRS. CHRISTI BURNETT PAUL ARNP
Nurse Practitioner (Family)
14540 OLD SAINT AUGUSTINE RD, SUITE 2207
JACKSONVILLE, FL 32258
Duval County (904) 807-9112
DR. JEFFERSON R. EDWARDS III M.D.
Surgery
14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251
LINDSAY CHOATE
Physician Assistant
14540 OLD SAINT AUGUSTINE RD, SUITE 2317
JACKSONVILLE, FL 32258
Duval County (904) 880-9696
ALYSSA A PAETAU MD
Surgery
14540 OLD SAINT AUGUSTINE RD, SUITE 2571
JACKSONVILLE, FL 32258
Duval County (904) 886-2251

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 MD Anderson Cancer Physicians Inc's NPI number?

The NPI number for Baptist MD Anderson Cancer Physicians Inc is 1083153365. It was assigned to this organization in the NPPES registry on February 20, 2017. The provider is doing business as Baptist MD Anderson Cancer Physicians.

Where is Baptist MD Anderson Cancer Physicians Inc located?

Baptist MD Anderson Cancer Physicians Inc is located at 14540 Old Saint Augustine Rd Suite 2593, Jacksonville, FL 32258. The listed phone number is (904) 389-3993.

What is Baptist MD Anderson Cancer Physicians Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Does Baptist MD Anderson Cancer Physicians Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2282190) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist MD Anderson Cancer Physicians Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist MD Anderson Cancer Physicians 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 MD Anderson Cancer Physicians Inc was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.