BAPTIST PRIMARY CARE INC
NPI 1316128259
Family Medicine in Jacksonville, FL

Active since November 20, 2007CLIA 10D1033487 · Waiver
4530 SAINT JOHNS AVE STE 13, JACKSONVILLE, FL 32210(904) 384-5222(904) 384-6468 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2018, Mar 17, 2018, Oct 18, 2017 (3 updates tracked since 2017).

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1316128259) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 8, 2026, maintains a secondary practice location in Jacksonville, and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1316128259
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address4530 SAINT JOHNS AVE STE 13Jacksonville, FL 32210-1852
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Fax(904) 384-6468
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 20, 2007
Last NPPES UpdateDecember 12, 20183 updates tracked since enumeration
✔ NPI 1316128259 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.
4530 SAINT JOHNS AVE STE 13, Jacksonville, FL 32210

Secondary Practice Location 1

Location 14495 Roosevelt Blvd, Suite 316Jacksonville, FL 32210-3375 · Phone (904) 384-5222 · Fax (904) 384-6468

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

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 Primary Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

567

Medicare enrollment records show 567 clinicians reassign Medicare billing to Baptist Primary Care Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 296 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Family Practice185
Hospitalist156
Nurse Practitioner105
Internal Medicine83
Infectious Disease16
Rheumatology10
Endocrinology6
Critical Care (Intensivists)2
3 other specialties4

Nearest to this location (20)

See all 567
Family Practice
NPI 1437716529
4530 SAINT JOHNS AVE STE 13
Jacksonville, FL 32210
(904) 384-5222
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346437506
4495 ROOSEVELT BLVD STE 316 CREDENTIALING DEPARTMENT
Jacksonville, FL 32210
(904) 384-5222
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1316202278
4495 ROOSEVELT BLVD STE 316
Jacksonville, FL 32210
(904) 384-5222
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1710669783
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS2.5 mi
Family Practice
NPI 1417180886
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1891772430
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1023080843
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1740025337
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1548112014
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1104124064
2 SHIRCLIFF WAY STE 435
Jacksonville, FL 32204
(904) 308-6900
✔ PECOS✔ Accepts Medicare3.7 mi
Hospitalist
NPI 1144615725
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare3.9 mi
Hospitalist
NPI 1538471917
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare3.9 mi
Infectious Disease
NPI 1740245018
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare3.9 mi
Hospitalist
NPI 1811382682
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare3.9 mi
Internal Medicine
NPI 1326017856
820 PRUDENTIAL DR STE 304 CREDENTIALING DEPARTMENT
Jacksonville, FL 32207
(904) 348-0974
✔ PECOS3.9 mi
Infectious Disease
NPI 1619940715
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare3.9 mi
Critical Care (Intensivists)
NPI 1851788863
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare3.9 mi
Pulmonary Disease
NPI 1023242666
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare3.9 mi
Rheumatology
NPI 1437132586
1660 PRUDENTIAL DR SUITE 310
Jacksonville, FL 32207
(904) 396-8656
✔ PECOS✔ Accepts Medicare4.6 mi
Rheumatology
NPI 1215998513
1660 PRUDENTIAL DR SUITE 310
Jacksonville, FL 32207
(904) 396-8656
✔ PECOS✔ Accepts Medicare4.6 mi
See all 567 clinicians

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 Waiver 10D1033487

Baptist Primary Care Inc · Jacksonville, FL
Active · expires Nov 8, 2026
CLIA Number10D1033487
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorAisha Covington Simms
Laboratory Phone(904) 384-5222
Laboratory LocationBaptist Primary Care Inc4530 St Johns Ave Ste 13, Jacksonville, FL 32210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primary Care Inc's NPI number?

The NPI number for Baptist Primary Care Inc is 1316128259. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210. The listed phone number is (904) 384-5222.

What is Baptist Primary Care Inc's specialty?

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

Is Baptist Primary Care Inc enrolled in Medicare?

Yes. Baptist Primary Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Primary Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 567 clinicians in 11 Medicare specialties reassign their Medicare billing to Baptist Primary Care 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 (185), Hospitalist (156) and Nurse Practitioner (105). Of these, 1 practice at this address and 296 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1033487) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Primary Care Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist Primary Care 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 Baptist Primary Care Inc was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.