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BAPTIST PRIMARY CARE INC
NPI 1396415212
Family Medicine in Atlantic Beach, FL

Active since September 14, 2021CLIA 10D2125570 · Waiver
1029 ATLANTIC BLVD, ATLANTIC BEACH, FL 32233(904) 246-7520(904) 390-7448 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1396415212) is a healthcare organization registered as a family medicine in Atlantic Beach, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Marsha Donaldson, Vice Resident, as its authorized official.

NPPES Registry Identity

NPI1396415212
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address1029 ATLANTIC BLVDAtlantic Beach, FL 32233
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 246-7520
Fax(904) 390-7448
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice Resident · (904) 202-2141
Enumeration DateSeptember 14, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1396415212 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.
1029 ATLANTIC BLVD, Atlantic Beach, FL 32233
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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 10D2125570

Baptist Primary Care · Atlantic Beach, FL
Active · expires Feb 8, 2027
CLIA Number10D2125570
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorMatthew Modansky
Laboratory Phone(904) 246-7520
Laboratory LocationBaptist Primary Care1029 Atlantic Boulevard, Atlantic Beach, FL 32233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ANALYN TESORO-OFIARA APRN
Nurse Practitioner (Family)
1029 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
Duval County (904) 246-7520
DR. JULIA ANNA LYONS DO
Family Medicine
1029 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
Duval County (904) 246-7520
MEI LYN M LAMAR APRN
Nurse Practitioner
1029 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
Duval County (904) 246-7520
BAPTIST PRIMARY CARE INC
Family Medicine
1029 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
Duval County (904) 246-7520
DR. MATTHEW MODANSKY M.D.
Family Medicine
1029 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
Duval County (904) 246-7520

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 1396415212. It was assigned to this organization in the NPPES registry on September 14, 2021.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 1029 Atlantic Blvd, Atlantic Beach, FL 32233. The listed phone number is (904) 246-7520.

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 10D2125570) is associated with this NPI, valid through February 8, 2027. 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 September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.