BAYMEADOWS HEALTHCARE
NPI 1174512701
Family Medicine in Jacksonville, FL

Q: What is Baymeadows Primary Care, Inc.'s NPI number?

The NPI number for Baymeadows Primary Care, Inc. is 1174512701. It was assigned to this organization in the NPPES registry on October 17, 2005. The provider is doing business as Baymeadows Healthcare.

Q: What is Baymeadows Primary Care, Inc.'s specialty?

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

Active since October 17, 2005

10058 BAYMEADOWS RD, JACKSONVILLE, FL 32256(904) 636-5400(904) 928-0654 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Baymeadows Healthcare NPPES

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

BAYMEADOWS HEALTHCARE (NPI 1174512701) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since October 2005. The organization lists S. Awais Imam, Practice Administrator/ Cfo, as its authorized official.

NPPES Registry Identity

NPI1174512701

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBAYMEADOWS PRIMARY CARE, INC.

Location Address10058 BAYMEADOWS RDJacksonville, FL 32256-7177

Mailing Address10058 Baymeadows RdJacksonville, FL 32256-7177 · (904) 636-5400 · Fax (904) 928-0654

Phone(904) 636-5400

Fax(904) 928-0654

Organization SubpartNo

Authorized OfficialS. Awais ImamPractice Administrator/ Cfo · (904) 636-5400

Enumeration DateOctober 17, 2005

Last NPPES UpdateMarch 14, 2012

✔ NPI 1174512701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME71382

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME81517 (FL)

10058 BAYMEADOWS RD, Jacksonville, FL 32256

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Other Names 1

Doing Business AsBaymeadows Healthcare

Other Identifiers 2

Medicaid273849000FL

Medicare PINK2754FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

THUY-VI NGUYEN DE JESUS MSW

Social Worker (Clinical)