BAYCARE MEDICAL GROUP INC
NPI 1154770667
Family Medicine in St Petersburg, FL

Active since June 06, 2016CLIA 10D1061368 · Waiver
116 1ST ST N, ST PETERSBURG, FL 33701(727) 895-5210 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2021, Mar 4, 2020, Jan 16, 2019 (3 updates tracked since 2019).

About Baycare Medical Group Inc NPPES

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

BAYCARE MEDICAL GROUP INC (NPI 1154770667) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Lynda A Gorken, Vp, Patient Financial Services, as its authorized official.

NPPES Registry Identity

NPI1154770667
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address116 1ST ST NSt Petersburg, FL 33701-3305
Mailing AddressPo Box 10744Clearwater, FL 33757-8744 · (727) 532-0002 · Fax (727) 266-4943
Organization SubpartNo
Authorized OfficialLynda A GorkenVp, Patient Financial Services · (727) 532-1355
Enumeration DateJune 6, 2016
Last NPPES UpdateJune 10, 20213 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1154770667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
116 1ST ST N, St Petersburg, FL 33701

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

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 10D1061368

Baycare Medical Group Inc · Saint Petersburg, FL
Active · expires Apr 1, 2028
CLIA Number10D1061368
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorLisa Ball
Laboratory Phone(727) 895-5210
Laboratory LocationBaycare Medical Group Inc116 1st St N, Saint Petersburg, FL 33701
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 15

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

Family Medicine
116 1ST ST N
ST PETERSBURG, FL 33701
Family Medicine
116 1ST ST N
ST PETERSBURG, FL 33701
Family Medicine (Sports Medicine)
116 1ST ST N
ST PETERSBURG, FL 33701
Family Medicine
116 1ST ST N
ST PETERSBURG, FL 33701
Family Medicine
116 1ST ST N
ST PETERSBURG, FL 33701
Family Medicine
116 1ST ST N
ST PETERSBURG, FL 33701
Family Medicine
116 1ST ST N
ST PETERSBURG, FL 33701
Nurse Practitioner (Family)
116 1ST ST N
ST PETERSBURG, FL 33701

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 Medical Group Inc's NPI number?

The NPI number for Baycare Medical Group Inc is 1154770667. It was assigned to this organization in the NPPES registry on June 6, 2016.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 116 1st St N, St Petersburg, FL 33701. The listed phone number is (727) 895-5210.

What is Baycare Medical Group Inc's specialty?

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

Does Baycare Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1061368) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baycare Medical Group Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baycare Medical Group 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 Baycare Medical Group Inc was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.