BAYCARE URGENT CARE, LLC
NPI 1124694112
General Practice in St Petersburg, FL

Active since June 01, 2021CLIA 10D2115337 · Waiver
1599 66TH ST N, ST PETERSBURG, FL 33710(727) 317-3388 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Jun 1, 2021 (2 updates tracked since 2021).

About Baycare Urgent Care, Llc NPPES

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

BAYCARE URGENT CARE, LLC (NPI 1124694112) is a healthcare organization registered as a general practice in St Petersburg, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists Lynda Gorken, Vp, as its authorized official.

NPPES Registry Identity

NPI1124694112
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBAYCARE URGENT CARE, LLC
Location Address1599 66TH ST NSt Petersburg, FL 33710-5536
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012 · (727) 281-9065
Organization SubpartNo
Authorized OfficialLynda GorkenVp · (813) 852-3304
Enumeration DateJune 1, 2021
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1124694112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1599 66TH ST N, St Petersburg, FL 33710

Other Identifiers 1

MedicaidPENDINGFL

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

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 10D2115337

Baycare Urgent Care · Saint Petersburg, FL
Active · expires Jul 4, 2028
CLIA Number10D2115337
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorKeith Waldrep
Laboratory Phone(727) 317-3388
Laboratory LocationBaycare Urgent Care1599 66th St N, Saint Petersburg, FL 33710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
1599 66TH ST N
ST. PETERSBURG, FL 33710
Family Medicine
1599 66TH ST N
ST PETERSBURG, FL 33710

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 Urgent Care, LLC's NPI number?

The NPI number for Baycare Urgent Care, LLC is 1124694112. It was assigned to this organization in the NPPES registry on June 1, 2021.

Where is Baycare Urgent Care, LLC located?

Baycare Urgent Care, LLC is located at 1599 66th St N, St Petersburg, FL 33710. The listed phone number is (727) 317-3388.

What is Baycare Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Baycare Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2115337) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baycare Urgent Care, LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.