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BAPTIST PRIMARY CARE INC
NPI 1457532400
Family Medicine in Callahan, FL

Active since November 19, 2007CLIA 10D0726129 · Waiver
45465 5TH AVE, CALLAHAN, FL 32011(904) 879-4544(904) 879-4411 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2020, Dec 14, 2018 (2 updates tracked since 2018).

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1457532400) is a healthcare organization registered as a family medicine in Callahan, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1457532400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address45465 5TH AVECallahan, FL 32011-3901
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 879-4544
Fax(904) 879-4411
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 19, 2007
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1457532400 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.
45465 5TH AVE, Callahan, FL 32011
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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 ›

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, 4 practice at this address. 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
Garrett Cudmore, DO
Family Practice
NPI 1154907061
45465 FIFTH AVE
Callahan, FL 32011
(904) 879-4544
✔ PECOS✔ Accepts MedicareSame address
Warren Groff, MD
Family Practice
NPI 1558348110
45465 FIFTH AVE CREDENTIALING DEPARTMENT
Callahan, FL 32011
(904) 879-4544
✔ PECOSSame address
Stephanie May, APRN
Nurse Practitioner
NPI 1053963793
45465 FIFTH AVE
Callahan, FL 32011
(904) 879-4544
✔ PECOS✔ Accepts MedicareSame address
Kiersten Prince, D.O.
Family Practice
NPI 1467689174
45465 FIFTH AVE
Callahan, FL 32011
(904) 879-4544
✔ PECOS✔ Accepts MedicareSame address
Eufrocina Delrosario, MD
Internal Medicine
NPI 1083691620
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare10 mi
Ana May Magdalen Manuel, MD
Family Practice
NPI 1548498512
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare10 mi
Baltazar Orallo, MD
Family Practice
NPI 1013989524
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare10 mi
Meinrado Pontejos, APRN
Nurse Practitioner
NPI 1184209249
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare10 mi
Quirino Toledo, MD
Family Practice
NPI 1154399335
11236 BAPTIST HEALTH DR STE 220
Jacksonville, FL 32218
(904) 696-6900
✔ PECOS✔ Accepts Medicare10 mi
Whitney Jackson, MD
Internal Medicine
NPI 1003519851
462626 STATE ROAD 200 STE 100
Yulee, FL 32097
(904) 225-3824
✔ PECOS✔ Accepts Medicare12 mi
Tamara Dukes, APRN
Nurse Practitioner
NPI 1821606229
4750 SOUTEL DR STE 10
Jacksonville, FL 32208
(904) 836-5486
✔ PECOS12 mi
Jusil Rice, APRN
Nurse Practitioner
NPI 1134474588
15255 MAX LEGGETT PKWY STE 3900
Jacksonville, FL 32218
(904) 383-1000
✔ PECOS✔ Accepts Medicare13 mi
Joshua Elder, M.D.
Hospitalist
NPI 1144615725
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare19 mi
Swati Prasad, MD, MBBS
Hospitalist
NPI 1538471917
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare19 mi
Thomas Rushton, MD
Infectious Disease
NPI 1740245018
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare19 mi
Ramon Dizon, M.D.
Infectious Disease
NPI 1619940715
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare19 mi
Sherleen Gandham, MD
Critical Care (Intensivists)
NPI 1851788863
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare19 mi
Irene Louh, MD, PHD
Pulmonary Disease
NPI 1023242666
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare19 mi
Gary Gabor, MD
Rheumatology
NPI 1437132586
1660 PRUDENTIAL DR SUITE 310
Jacksonville, FL 32207
(904) 396-8656
✔ PECOS✔ Accepts Medicare20 mi
Archana Goel, M.D.
Rheumatology
NPI 1215998513
1660 PRUDENTIAL DR SUITE 310
Jacksonville, FL 32207
(904) 396-8656
✔ PECOS✔ Accepts Medicare20 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 10D0726129

Baptist Primary Care Callahan · Callahan, FL
Active · expires Jul 19, 2028
CLIA Number10D0726129
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorGarrett Cudmore
Laboratory Phone(904) 879-4544
Laboratory LocationBaptist Primary Care Callahan45465 5th Ave, Callahan, FL 32011
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 Baptist Primary Care Inc's NPI number?

The NPI number for Baptist Primary Care Inc is 1457532400. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 45465 5th Ave, Callahan, FL 32011. The listed phone number is (904) 879-4544.

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, 4 practice at this address. 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 10D0726129) is associated with this NPI, valid through July 19, 2028. 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 November 25, 2020. 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.