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BAPTIST PRIMARY CARE INC
NPI 1568643443
Family Medicine in Jacksonville, FL

Active since November 19, 2007CLIA 10D0674562 · Microscopy
810 LANE AVE S, JACKSONVILLE, FL 32205(904) 783-9680(904) 693-0138 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 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 1568643443) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through May 19, 2027 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1568643443
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address810 LANE AVE SJacksonville, FL 32205-4785
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 783-9680
Fax(904) 693-0138
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 19, 2007
Last NPPES UpdateDecember 12, 2018
✔ NPI 1568643443 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.
810 LANE AVE S, Jacksonville, FL 32205
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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, 6 practice at this address and 268 within 10 miles. 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
Matthew Braddock, D.O.
Family Practice
NPI 1417180886
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts MedicareSame address
Herman Downey, MD
Family Practice
NPI 1891772430
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts MedicareSame address
Gregory Mchugh, MD
Family Practice
NPI 1023080843
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts MedicareSame address
Emmanuel Miel, MD
Family Practice
NPI 1962686733
810 LANE AVE S CREDENTIALING DEPARTMENT
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts MedicareSame address
Jeanette Torres, MD
Family Practice
NPI 1760004097
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOS✔ Accepts MedicareSame address
Sharathi Sirimanne, MD
Internal Medicine
NPI 1710669783
810 LANE AVE S
Jacksonville, FL 32205
(904) 783-9680
✔ PECOSSame address
Jesse Lyons, MD
Family Practice
NPI 1437716529
4530 SAINT JOHNS AVE STE 13
Jacksonville, FL 32210
(904) 384-5222
✔ PECOS✔ Accepts Medicare2.5 mi
Robert Ratterman, AGACNP-BC, APRN
Nurse Practitioner
NPI 1447809744
915 W MONROE ST STE 200
Jacksonville, FL 32204
(904) 202-3860
✔ PECOS✔ Accepts Medicare2.9 mi
Aishah Covington Simms, M.D.
Family Practice
NPI 1316202278
4495 ROOSEVELT BLVD STE 316
Jacksonville, FL 32210
(904) 384-5222
✔ PECOS✔ Accepts Medicare3.0 mi
Joseph Glick, M.D.
Family Practice
NPI 1346437506
4495 ROOSEVELT BLVD STE 316 CREDENTIALING DEPARTMENT
Jacksonville, FL 32210
(904) 384-5222
✔ PECOS✔ Accepts Medicare3.0 mi
Melissa Thomas, APRN
Nurse Practitioner
NPI 1104124064
2 SHIRCLIFF WAY STE 435
Jacksonville, FL 32204
(904) 308-6900
✔ PECOS✔ Accepts Medicare3.1 mi
Nneoma Onyedimma, DO
Family Practice
NPI 1841869682
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare4.6 mi
Justin Clark, M.D.
Family Practice
NPI 1609135011
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare4.6 mi
Isaac Kinman, D.O.
Family Practice
NPI 1265953954
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare4.6 mi
Sandra Laurencin, M.D.
Family Practice
NPI 1316038847
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS4.6 mi
Shaunta Lawson, APRN
Nurse Practitioner
NPI 1740025337
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare4.6 mi
Samantha Laine Simon
Nurse Practitioner
NPI 1548112014
532 RIVERSIDE AVE STE 103
Jacksonville, FL 32202
(904) 353-5696
✔ PECOS✔ Accepts Medicare4.6 mi
Joshua Elder, M.D.
Hospitalist
NPI 1144615725
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS✔ Accepts Medicare5.3 mi
Thomas Rushton, MD
Infectious Disease
NPI 1740245018
820 PRUDENTIAL DR STE 515
Jacksonville, FL 32207
(904) 396-4886
✔ PECOS✔ Accepts Medicare5.3 mi
Elaine Borne, ARNP
Nurse Practitioner
NPI 1851352041
820 PRUDENTIAL DR STE 304
Jacksonville, FL 32207
(904) 202-3860
✔ PECOS5.3 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 for Provider-Performed Microscopy Procedures (PPMP) 10D0674562

Baptist Primary Care · Jacksonville, FL
Active · expires May 19, 2027
CLIA Number10D0674562
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorH Jackson Downey
Laboratory Phone(904) 783-9680
Laboratory LocationBaptist Primary Care810 Lane Ave S, Jacksonville, FL 32205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1568643443. 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 810 Lane Ave S, Jacksonville, FL 32205. The listed phone number is (904) 783-9680.

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, 6 practice at this address and 268 within 10 miles. 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 for Provider-Performed Microscopy Procedures (PPMP) (number 10D0674562) is associated with this NPI, valid through May 19, 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 December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.