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BAPTIST PRIMARY CARE INC
NPI 1629250915
Family Medicine in St. Johns, FL

Active since November 29, 2007CLIA 10D1037279 · Waiver
1310 COUNTY ROAD 210 W, ST. JOHNS, FL 32259(904) 824-4407(904) 824-7855 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1629250915) is a healthcare organization registered as a family medicine in St. Johns, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629250915
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address1310 COUNTY ROAD 210 WSt. Johns, FL 32259
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 824-4407
Fax(904) 824-7855
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 29, 2007
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 22, 2023
✔ NPI 1629250915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
1310 COUNTY ROAD 210 W, St. 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 10D1037279

Baptist Primary Care, Inc · St Johns, FL
Active · expires Apr 13, 2028
CLIA Number10D1037279
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorMatthew Deboer
Laboratory Phone(904) 824-4407
Laboratory LocationBaptist Primary Care, Inc1310 County Road 210 W, 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 7

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

MARY STEPHENS MATHIS PA-C
Physician Assistant
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
DR. MATTHEW RYAN DEBOER DO
Family Medicine
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
OLIVIA MICHELLE BULLOCK DO
Family Medicine
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
DR. ANA MARIA ROMERO M.D.
Family Medicine
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
LEAH M ROSE APRN
Nurse Practitioner
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
St. Johns County (904) 824-4407
JASON WAYNE LARGEN M.D.
Family Medicine
1310 COUNTY ROAD 210 W
ST JOHNS, FL 32259
St. Johns County (904) 824-4407
DR. TONY L. WILLSON MD
Family Medicine
1310 COUNTY ROAD 210 W
ST JOHNS, FL 32259
St. Johns County (904) 824-4407

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 1629250915. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 1310 County Road 210 W, St. Johns, FL 32259. The listed phone number is (904) 824-4407.

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 10D1037279) is associated with this NPI, valid through April 13, 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 27, 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.