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BAYCARE MEDICAL GROUP INC
NPI 1205408317
Family Medicine in St Petersburg, FL

Active since July 16, 2021CLIA 10D2046624 · Waiver
6801 4TH ST N, ST PETERSBURG, FL 33702(727) 822-3238(727) 823-1278 Get Directions Write a Review

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

About Baycare Medical Group Inc NPPES

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

BAYCARE MEDICAL GROUP INC (NPI 1205408317) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists Lynda Gorken, Vp,pfs, as its authorized official.

NPPES Registry Identity

NPI1205408317
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYCARE MEDICAL GROUP INC
Location Address6801 4TH ST NSt Petersburg, FL 33702-6844
Mailing Address2995 Drew St Fl 3Clearwater, FL 33759-3012 · (727) 281-9390 · Fax (813) 635-2613
Phone(727) 822-3238
Fax(727) 823-1278
Organization SubpartNo
Authorized OfficialLynda GorkenVp,pfs · (727) 281-9202
Enumeration DateJuly 16, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1205408317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedInternal MedicineTaxonomy 207R00000X
6801 4TH ST N, St Petersburg, FL 33702
Open in Google Maps ↗

Other Names 1

Other NameAllendale Primary Care

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

CLIA Laboratory Certificates CMS CLIA 2

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 10D2046624

Baycare Medical Group Inc · Saint Petersburg, FL
Active · expires Sep 6, 2026
CLIA Number10D2046624
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorCarolina V. Nelson
Laboratory Phone(727) 240-0531
Laboratory LocationBaycare Medical Group Inc7751 9th Street N Ste 10, Saint Petersburg, FL 33702
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1057545

Baycare Medical Group Inc · Saint Petersburg, FL
Expired · Aug 14, 2026
CLIA Number10D1057545
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorChristian Bengston
Laboratory Phone(727) 822-3238
Laboratory LocationBaycare Medical Group Inc6801 4th St North, Saint Petersburg, FL 33702
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 9

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

VIVIANA C FRAZIER M.D.
Family Medicine
6801 4TH ST N
SAINT PETERSBURG, FL 33702
Pinellas County (727) 822-3238
CHRISTIAN OLOF BENGTSON MD
Family Medicine
6801 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 822-3238
DR. SHANA ELIZABETH ANTON MD
Family Medicine
6801 4TH ST N
SAINT PETERSBURG, FL 33702
Pinellas County (727) 822-3238
DR. DON EDWARD PARISH D.O.
Internal Medicine
6801 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 822-3238
MEREDITH DYKES ARNP
Nurse Practitioner (Family)
6801 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 822-3238
MRS. MADELYN M NICKERSON PA-C
Physician Assistant (Medical)
6801 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 822-3238
DR. CAROL THUY VY TRAN M.D.
Family Medicine
6801 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 822-3238
TIMMI MAXMILLIAN DO
Family Medicine
6801 4TH ST N
ST PETERSBURG, FL 33702
Pinellas County (727) 822-3238

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 1205408317. It was assigned to this organization in the NPPES registry on July 16, 2021. The provider is also known as Allendale Primary Care.

Where is Baycare Medical Group Inc located?

Baycare Medical Group Inc is located at 6801 4th St N, St Petersburg, FL 33702. The listed phone number is (727) 822-3238.

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 10D2046624) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baycare Medical Group Inc was last updated on July 16, 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.