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BAPTIST HEALTH CLINIC INC
NPI 1184161929
Family Medicine in Jacksonville, FL

Active since January 31, 2017CLIA 10D2337639 · Certificate of Compliance
1660 PRUDENTIAL DR STE 230, JACKSONVILLE, FL 32207(904) 202-3300(904) 202-3310 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, May 29, 2025, Aug 8, 2019 and 3 more (6 updates tracked since 2017).

About Baptist Health Clinic Inc NPPES

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

BAPTIST HEALTH CLINIC INC (NPI 1184161929), doing business as Baptist Medical Bridge Clinic, is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since January 2017. The organization holds a CLIA Certificate of Compliance certificate valid through January 26, 2028 and lists Marsha Donaldson, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1184161929
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST HEALTH CLINIC INC
Location Address1660 PRUDENTIAL DR STE 230Jacksonville, FL 32207-8185
Mailing AddressPo Box 109282Atlanta, GA 30348-9282 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-3300
Fax(904) 202-3310
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice-president · (904) 376-3744
Enumeration DateJanuary 31, 2017
Last NPPES UpdateAugust 6, 20256 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1184161929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
1660 PRUDENTIAL DR STE 230, Jacksonville, FL 32207
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Other Names 1

Doing Business AsBaptist Medical Bridge Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baptist Health Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Baptist Health Clinic Inc, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice8
Emergency Medicine2

Clinicians, nearest first (10)

Ryan Brenes, D.O.
Family Practice
NPI 1033143482
820 PRUDENTIAL DR SUITE 713
Jacksonville, FL 32207
(306) 619-5517
✔ PECOS✔ Accepts Medicare0.7 mi
Larissa Buccolo, M.D.
Family Practice
NPI 1598747925
820 PRUDENTIAL DR STE 713
Jacksonville, FL 32207
(904) 396-5682
✔ PECOS✔ Accepts Medicare0.7 mi
Laura Dimmick, MD
Emergency Medicine
NPI 1487674776
820 PRUDENTIAL DR STE 713
Jacksonville, FL 32207
(904) 396-5682
✔ PECOS✔ Accepts Medicare0.7 mi
Lisa Lowry, M.D.
Family Practice
NPI 1881614923
820 PRUDENTIAL DR #713
Jacksonville, FL 32207
(800) 936-5996
✔ PECOS✔ Accepts Medicare0.7 mi
Annette Bell, M.D.
Family Practice
NPI 1013913854
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 396-5682
✔ PECOS0.8 mi
Cecilia Collins, MD
Family Practice
NPI 1164441903
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 396-5682
✔ PECOS✔ Accepts Medicare0.8 mi
Donald Monroe, MD
Emergency Medicine
NPI 1457662058
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-2000
✔ PECOS✔ Accepts Medicare0.8 mi
Erica Wong, MD
Family Practice
NPI 1184642225
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 396-5682
✔ PECOS✔ Accepts Medicare0.8 mi
Stephen Cooke, M.D.
Family Practice
NPI 1841638749
1601 OWEN DR
Fayetteville, NC 28304
(910) 678-0100
✔ PECOS✔ Accepts Medicare362 mi
Sean Mcgrath, M.D.
Family Practice
NPI 1588624803
695 KINKAID RD
Annapolis, MD 21402
(410) 293-1758
✔ PECOS✔ Accepts Medicare666 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 10D2337639

Baptist Health Clinic Inc · Jacksonville, FL
Active · expires Jan 26, 2028
CLIA Number10D2337639
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorRyan Brenes
Laboratory Phone(904) 202-3300
Laboratory LocationBaptist Health Clinic Inc841 Prudential Drive St 180, Jacksonville, FL 32207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Baptist Health Clinic Inc's NPI number?

The NPI number for Baptist Health Clinic Inc is 1184161929. It was assigned to this organization in the NPPES registry on January 31, 2017. The provider is doing business as Baptist Medical Bridge Clinic.

Where is Baptist Health Clinic Inc located?

Baptist Health Clinic Inc is located at 1660 Prudential Dr Ste 230, Jacksonville, FL 32207. The listed phone number is (904) 202-3300.

What is Baptist Health Clinic Inc's specialty?

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

Is Baptist Health Clinic Inc enrolled in Medicare?

Yes. Baptist Health Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Health Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Baptist Health Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8) and Emergency Medicine (2). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Health Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2337639) is associated with this NPI, valid through January 26, 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 Baptist Health Clinic Inc was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.