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BAKER COMMUNITY HEALTH CENTER INC
NPI 1396807319
Emergency Medicine in Macclenny, FL

Active since December 15, 2006CLIA 10D2044368 · Waiver
159 N 3RD ST, MACCLENNY, FL 32063(904) 259-3151(904) 259-3279 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Baker Community Health Center Inc NPPES

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

BAKER COMMUNITY HEALTH CENTER INC (NPI 1396807319) is a healthcare organization registered as an emergency medicine in Macclenny, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Tiffany Varnadoe, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1396807319
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBAKER COMMUNITY HEALTH CENTER INC
Location Address159 N 3RD STMacclenny, FL 32063-2103
Mailing Address159 N 3rd StMacclenny, FL 32063-2103 · (904) 259-3151 · Fax (904) 259-3279
Phone(904) 259-3151
Fax(904) 259-3279
Organization SubpartNo
Authorized OfficialTiffany VarnadoeChief Executive Officer · (706) 437-2683
Enumeration DateDecember 15, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1396807319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedClinic/CenterTaxonomy 261Q00000X
159 N 3RD ST, Macclenny, FL 32063
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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 Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baker Community Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by February 28, 2027

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20070728000111Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
StateMichiganEnrollment IDO20190318001931Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

70

Medicare enrollment records show 70 clinicians reassign Medicare billing to Baker Community Health Center Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Diagnostic Radiology51
Nurse Practitioner10
Emergency Medicine2
Cardiovascular Disease (Cardiology)1
Clinical Social Worker1
Family Practice1
Gastroenterology1
General Practice1
2 other specialties2

Nearest to this location (20)

See all 70
Tiffany Braddy, APRN
Nurse Practitioner
NPI 1760165013
159 N 3RD ST
Macclenny, FL 32063
(904) 259-3151
✔ PECOS✔ Accepts MedicareSame address
Mark Hardin, DO
Family Practice
NPI 1770544777
159 N 3RD ST
Macclenny, FL 32063
(904) 259-7815
✔ PECOSSame address
Paul Jarczyk, MD
Emergency Medicine
NPI 1952322125
159 N 3RD ST
Macclenny, FL 32063
(904) 259-3151
✔ PECOS✔ Accepts MedicareSame address
Pushpjeet Kanwar, M.D
Gastroenterology
NPI 1912172149
159 N 3RD ST
Macclenny, FL 32063
(904) 259-3151
✔ PECOS✔ Accepts MedicareSame address
Kyle Knabb, DO
Internal Medicine
NPI 1922372788
159 N 3RD ST
Macclenny, FL 32063
(904) 259-7815
✔ PECOS✔ Accepts MedicareSame address
Latoya Barnes, APRN
Nurse Practitioner
NPI 1821523713
159 N 3RD ST
Macclenny, FL 32063
(904) 259-7815
✔ PECOS✔ Accepts MedicareSame address
Amber Crews, APRN
Nurse Practitioner
NPI 1487510376
159 N 3RD ST
Macclenny, FL 32063
(904) 259-3151
✔ PECOS✔ Accepts MedicareSame address
Crystal Satterwhite, FNP-C
Nurse Practitioner
NPI 1639927643
155 N 3RD ST
Macclenny, FL 32063
(904) 653-4700
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Underwood, APRN
Nurse Practitioner
NPI 1831071299
210 N 2ND ST
Macclenny, FL 32063
(904) 259-6168
✔ PECOS✔ Accepts Medicare0.1 mi
Taylor Parker, APRN
Nurse Practitioner
NPI 1861032419
121 W MACCLENNY AVE
Macclenny, FL 32063
(904) 259-6380
✔ PECOS✔ Accepts Medicare0.3 mi
Jeremie Young, MD
General Practice
NPI 1003912635
5970 COPPER DR
Macclenny, FL 32063
(904) 259-3151
✔ PECOS✔ Accepts Medicare1.8 mi
Magan Mona, NP-C
Nurse Practitioner
NPI 1295499937
7487 S SR 121
Macclenny, FL 32063
(904) 330-2371
✔ PECOS✔ Accepts Medicare4.2 mi
Amy Harvey, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1275152480
7487 S STATE ROAD 121
Macclenny, FL 32063
(904) 259-6211
✔ PECOS✔ Accepts Medicare4.2 mi
Brent Libby, MD
Diagnostic Radiology
NPI 1821078346
ATTN: MEDICAL STAFF SERVICES BLDG. H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
Jacksonville, FL 32212
(904) 542-7200
✔ PECOS26 mi
Jennifer Maynor, FNP-C
Nurse Practitioner
NPI 1194571158
1128 N LAURA ST
Jacksonville, FL 32206
(904) 926-4428
✔ PECOS28 mi
Amanda Hawthorne, LCSW
Clinical Social Worker
NPI 1104502145
8130 BAYMEADOWS CIR W # 204-206
Jacksonville, FL 32256
(904) 608-9881
✔ PECOS33 mi
Chelsea Blum, NP
Nurse Practitioner
NPI 1356071427
7011 A C SKINNER PKWY
Jacksonville, FL 32256
(904) 493-3333
✔ PECOS✔ Accepts Medicare35 mi
Aaron Ward, M.D.
Emergency Medicine
NPI 1891107991
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts Medicare129 mi
Rand Confer, M.D.
Diagnostic Radiology
NPI 1083774764
1014 AUGUSTA RD SUITE 1
Thomson, GA 30824
(706) 595-4674
✔ PECOS✔ Accepts Medicare220 mi
Brandon Olivieri, M.D.
Interventional Radiology
NPI 1699064196
180 LOTAWATAH DR
Burnsville, NC 28714
(833) 228-6889
✔ PECOS✔ Accepts Medicare389 mi
See all 70 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 10D2044368

Baker Community Health Center Inc · Macclenny, FL
Active · expires Jul 22, 2028
CLIA Number10D2044368
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorTommy Jensen
Laboratory Phone(904) 259-3151
Laboratory LocationBaker Community Health Center Inc159 N 3rd St, Macclenny, FL 32063
CLIA data matches this NPI record on: Address 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 Baker Community Health Center Inc's NPI number?

The NPI number for Baker Community Health Center Inc is 1396807319. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Baker Community Health Center Inc located?

Baker Community Health Center Inc is located at 159 N 3rd St, Macclenny, FL 32063. The listed phone number is (904) 259-3151.

What is Baker Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Baker Community Health Center Inc enrolled in Medicare?

Yes. Baker Community Health Center Inc is registered in the Medicare PECOS enrollment system.

When is Baker Community Health Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Baker Community Health Center Inc holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Baker Community Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 10 Medicare specialties reassign their Medicare billing to Baker Community Health Center 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 Diagnostic Radiology (51), Nurse Practitioner (10) and Emergency Medicine (2). Of these, 7 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baker Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2044368) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baker Community Health Center Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Baker Community Health Center 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 Baker Community Health Center Inc was last updated on December 17, 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.