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BAPTIST PRIMARY CARE INC
NPI 1558924035
Family Medicine in Saint Johns, FL

Active since April 19, 2019CLIA 10D2169012 · Waiver
550 DURBIN PAVILION DR STE G101, SAINT JOHNS, FL 32259(904) 770-2095(904) 770-2086 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2019, Apr 19, 2019 (2 updates tracked since 2019).

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1558924035) is a healthcare organization registered as a family medicine in Saint Johns, Florida and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1558924035
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address550 DURBIN PAVILION DR STE G101Saint Johns, FL 32259-4116
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 770-2095
Fax(904) 770-2086
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3707
Enumeration DateApril 19, 2019
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
✔ NPI 1558924035 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.
550 DURBIN PAVILION DR STE G101, Saint Johns, FL 32259
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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 10D2169012

Baptist Primary Care, Inc. · St Johns, FL
Active · expires Oct 25, 2027
CLIA Number10D2169012
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorKyle Herring Do
Laboratory Phone(904) 770-2095
Laboratory LocationBaptist Primary Care, Inc.550 Durbin Pavilion Drive Suite G101, St Johns, FL 32259
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 4

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

THU PHUOC ANH TRUONG MD
Family Medicine
550 DURBIN PAVILION DR STE G101
ST JOHNS, FL 32259
St. Johns County (904) 770-2095
KAMALDEEP SETHI MD
Family Medicine
550 DURBIN PAVILION DR STE G101
ST JOHNS, FL 32259
St. Johns County (904) 770-2095
KYLE B HERRING DO
Family Medicine
550 DURBIN PAVILION DR STE G101
ST JOHNS, FL 32259
St. Johns County (904) 770-2095
KIMBERLY ANN COGGINS PA-C
Physician Assistant
550 DURBIN PAVILION DR STE G101
ST JOHNS, FL 32259
St. Johns County (904) 770-2095

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 1558924035. It was assigned to this organization in the NPPES registry on April 19, 2019.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 550 Durbin Pavilion Dr Ste G101, Saint Johns, FL 32259. The listed phone number is (904) 770-2095.

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 10D2169012) is associated with this NPI, valid through October 25, 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 August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.