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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: August 16, 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
Phone(904) 384-5222
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 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.

Other Providers at the Same Location NPPES

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

DR. JESSE TYLER LYONS MD
Family Medicine
4530 SAINT JOHNS AVE STE 13
JACKSONVILLE, FL 32210
Duval County (904) 384-5222

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.

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.