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BAPTIST PRIMARY CARE, INC.
NPI 1538566542
Family Medicine in Ponte Vedra, FL

Active since November 20, 2014CLIA Certified · 2 labs
400 COLONNADE DR STE 160, PONTE VEDRA, FL 32081(904) 824-1020(904) 390-7503 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 22, 2023, Oct 16, 2020, Dec 14, 2018 (3 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 1538566542) is a healthcare organization registered as a family medicine in Ponte Vedra, Florida and active in the NPI registry since November 2014. The organization holds 2 active CLIA laboratory certificates and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1538566542
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE, INC.
Location Address400 COLONNADE DR STE 160Ponte Vedra, FL 32081-6236
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 824-1020
Fax(904) 390-7503
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 20, 2014
Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1538566542 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.
400 COLONNADE DR STE 160, Ponte Vedra, FL 32081
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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 2

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 10D2092035

Baptist Primary Care · Ponte Vedra, FL
Active · expires Feb 24, 2027
CLIA Number10D2092035
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorJoshua Harrison
Laboratory Phone(904) 824-1020
Laboratory LocationBaptist Primary Care400 Colonnade Drive Suite 160, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2226936

Baptist Primary Care Inc · Ponte Vedra, FL
Active · expires Jan 10, 2028
CLIA Number10D2226936
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorErica Tarbox
Laboratory Phone(904) 686-7577
Laboratory LocationBaptist Primary Care Inc400 Colonnade Drive Suite 200, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

DR. SWATHI MOHANKUMAR MD
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
JOSHUA M HARRISON M.D.
Hospitalist
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
ELIZABETH KEENAN MCQUAGGE APRN
Nurse Practitioner
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
DR. ANGELA KAY STAPLETON-MACKENZIE M.D.
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
MR. ANDREW LOURENS APRN
Nurse Practitioner
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020
JAMES D MOORE MD
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 248-1020
ROBERT KAWA D.O.
Family Medicine
400 COLONNADE DR STE 160
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020

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 1538566542. It was assigned to this organization in the NPPES registry on November 20, 2014.

Where is Baptist Primary Care, Inc. located?

Baptist Primary Care, Inc. is located at 400 Colonnade Dr Ste 160, Ponte Vedra, FL 32081. The listed phone number is (904) 824-1020.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.