ST. VINCENT'S CLAY COUNTY - CARDIOLOGY
NPI 1154729549
Internal Medicine - Cardiovascular Disease in Middleburg, FL

Active since December 17, 2014CLIA 10D2114252 · Waiver
1658 ST VINCENTS WAY, SUITE 300, MIDDLEBURG, FL 32068(904) 276-5100(904) 276-5393 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Vincent's Clay County - Cardiology NPPES

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

ST. VINCENT'S CLAY COUNTY - CARDIOLOGY (NPI 1154729549) is a healthcare organization registered as a cardiovascular disease in Middleburg, Florida and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists D. Blaine Claypool, President, as its authorized official.

NPPES Registry Identity

NPI1154729549
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC
Location Address1658 ST VINCENTS WAY, SUITE 300Middleburg, FL 32068-8446
Mailing Address1658 St Vincents Way, Suite 300Middleburg, FL 32068-8446 · (904) 276-5100 · Fax (904) 276-5393
Fax(904) 276-5393
Organization SubpartYesParent: St. Vincent's Medical Center - Clay County, Inc.
Authorized OfficialD. Blaine ClaypoolPresident · (904) 602-1151
Enumeration DateDecember 17, 2014
NPI 1154729549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · ME49977
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1658 ST VINCENTS WAY, Middleburg, FL 32068

Other Names 1

Doing Business AsSt. Vincent's Clay County - Cardiology

Other Identifiers 1

Medicare PIN10-0321FL

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 10D2114252

St Vincent's Medical Center - Clay County, Inc Dba Optimal Imaging - Clay County · Middleburg, FL
Active · expires Jun 8, 2028
CLIA Number10D2114252
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorRebecca Davison
Laboratory Phone(904) 203-5666
Laboratory LocationSt Vincent's Medical Center - Clay County, Inc Dba Optimal Imaging - Clay County1726 Jeremiah St, Middleburg, FL 32068
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 8

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

Advanced Practice Midwife
1658 ST VINCENTS WAY, SUITE 130
MIDDLEBURG, FL 32068
Surgery
1658 ST VINCENTS WAY, #210
MIDDLEBURG, FL 32068
Specialist
1658 ST VINCENTS WAY, SUITE 300
MIDDLEBURG, FL 32068
Physical Therapy Assistant
1658 ST VINCENTS WAY
MIDDLEBURG, FL 32068
Non-Pharmacy Dispensing Site
1658 ST VINCENTS WAY, SUITE 100
MIDDLEBURG, FL 32068
Nurse Practitioner (Family)
1658 ST VINCENTS WAY
MIDDLEBURG, FL 32068
Physician Assistant
1658 ST VINCENTS WAY, SUITE 100
MIDDLEBURG, FL 32068
Internal Medicine (Pulmonary Disease)
1658 ST VINCENTS WAY, SUITE 240
MIDDLEBURG, FL 32068

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 St. Vincent's Medical Center - Clay County, Inc's NPI number?

The NPI number for St. Vincent's Medical Center - Clay County, Inc is 1154729549. It was assigned to this organization in the NPPES registry on December 17, 2014. The provider is doing business as St. Vincent's Clay County - Cardiology.

Where is St. Vincent's Medical Center - Clay County, Inc located?

St. Vincent's Medical Center - Clay County, Inc is located at 1658 St Vincents Way Suite 300, Middleburg, FL 32068. The listed phone number is (904) 276-5100.

What is St. Vincent's Medical Center - Clay County, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does St. Vincent's Medical Center - Clay County, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2114252) is associated with this NPI, valid through June 8, 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 St. Vincent's Medical Center - Clay County, Inc was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.