BAPTIST PRIMARY CARE - INTERNAL MEDICAL GROUP INC
NPI 1144508375
Internal Medicine in Jacksonville, FL

NPI Status: Active since July 21, 2011

Contact Information

820 PRUDENTIAL DR
SUITE 314
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-2223

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  • Organization
  • Internal Medicine
  • CLIA Number: 10D0645105
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-11-2027

About BAPTIST PRIMARY CARE - INTERNAL MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Baptist Primary Care - Internal Medical Group Inc, an internist established in Jacksonville, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1144508375 assigned on July 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Earl B Mally (Sr. Vice President)

NPI
1144508375
Provider Name
BAPTIST PRIMARY CARE - INTERNAL MEDICAL GROUP INC
Entity Type
Organization
Location Address
820 PRUDENTIAL DR SUITE 314 JACKSONVILLE, FL 32207
Location Phone
(904) 396-2223
Mailing Address
8614 BAYMEADOWS WAY SUITE 100 JACKSONVILLE, FL 32256
Mailing Phone
(904) 396-0450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2011
Last Update Date
07-21-2011
Code Navigator

An internist like Baptist Primary Care - Internal Medical Group Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EARL B MALLY

Authorized Official Title
SR. VICE PRESIDENT
Authorized Official Phone
(904) 376-4275

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0645105
Facility Type
Physician Office
Certificate Effective Date
January 12, 2025
Certificate Expiration Date
January 11, 2027
Laboratory Director
SAMANTHA KRALY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Baptist Primary Care - Internal Medical Group Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144508375, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 0 + 0 + 1 + 6 + 3 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1144508375.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Emergency Medicine (Emergency Medical Services)
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, 713
JACKSONVILLE, FL 32207
Family Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Pediatrics (Pediatric Nephrology)
820 PRUDENTIAL DR, UFJP PEDIATRIC MULTI-SPECIALTY CLINIC
JACKSONVILLE, FL 32207
Specialist
820 PRUDENTIAL DR, SUITE 112
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
820 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Emergency Medicine
820 PRUDENTIAL DR, SUITE 713
JACKSONVILLE, FL 32207
Anesthesiology
820 PRUDENTIAL DR, SUITE 606
JACKSONVILLE, FL 32207
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207
Dietitian, Registered
820 PRUDENTIAL DR, SUITE 416
JACKSONVILLE, FL 32207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144508375, enumerated as an "organization" on July 21, 2011.

The provider is located at 820 PRUDENTIAL DR SUITE 314 JACKSONVILLE, FL 32207 and the phone number is (904) 396-2223.

Internal Medicine with taxonomy code 207R00000X.