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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: October 25, 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 ›

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, 5 practice at this address and 65 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
Olivia Bullock, DO
Family Practice
NPI 1114542859
1310 COUNTY ROAD 210 W
Saint Johns, FL 32259
(904) 824-4407
✔ PECOS✔ Accepts MedicareSame address
Matthew Deboer, DO
Family Practice
NPI 1104047893
1310 COUNTY ROAD 210 W
Saint Johns, FL 32259
(904) 824-4407
✔ PECOS✔ Accepts MedicareSame address
Ana Romero, M.D.
Family Practice
NPI 1154383990
1310 COUNTY ROAD 210 W
Saint Johns, FL 32259
(904) 824-4407
✔ PECOS✔ Accepts MedicareSame address
Leah Rose, APRN
Nurse Practitioner
NPI 1336769934
1310 COUNTY ROAD 210 W
Saint Johns, FL 32259
(904) 824-4407
✔ PECOS✔ Accepts MedicareSame address
Tony Willson, MD
Family Practice
NPI 1982798310
1310 COUNTY ROAD 210 W
St Johns, FL 32259
(904) 824-4407
✔ PECOS✔ Accepts MedicareSame address
Kamaldeep Sethi, MD
Family Practice
NPI 1679131866
550 DURBIN PAVILION DR STE G101
St Johns, FL 32259
(904) 770-2095
✔ PECOS✔ Accepts Medicare2.6 mi
Thu Truong, MD
Family Practice
NPI 1114421534
550 DURBIN PAVILION DR STE G101
St Johns, FL 32259
(904) 770-2095
✔ PECOS✔ Accepts Medicare2.6 mi
Kyle Herring, DO
Family Practice
NPI 1932632767
550 DURBIN PAVILION DR STE G101
St Johns, FL 32259
(904) 770-2095
✔ PECOS✔ Accepts Medicare2.6 mi
Joel Ahlgrim, D.O.
Family Practice
NPI 1306821236
5304 BARTRAM COMMONS DR
Jacksonville, FL 32258
(904) 376-3970
✔ PECOS✔ Accepts Medicare2.7 mi
Laurel Cantrell, MD
Family Practice
NPI 1063900447
5304 BARTRAM COMMONS DR
Jacksonville, FL 32258
(904) 376-3970
✔ PECOS✔ Accepts Medicare2.7 mi
Jagat Patel, MD
Family Practice
NPI 1730827205
5304 BARTRAM COMMONS DR
Jacksonville, FL 32258
(904) 376-3970
✔ PECOS✔ Accepts Medicare2.7 mi
Omama Rahmany, DO
Internal Medicine
NPI 1225730104
141 HILDEN RD STE 201
Ponte Vedra, FL 32081
(904) 825-1941
✔ PECOS3.0 mi
Marta Klisinska, MD
Internal Medicine
NPI 1720491251
110 HAMPTON POINT DR
St Augustine, FL 32092
(904) 484-7772
✔ PECOS✔ Accepts Medicare3.4 mi
Megan Andersen, APRN
Nurse Practitioner
NPI 1760925903
110 HAMPTON POINT DR
St Augustine, FL 32092
(904) 484-7222
✔ PECOS✔ Accepts Medicare3.4 mi
Joshua Harrison, M.D.
Internal Medicine
NPI 1215915574
400 COLONNADE DR STE 160
Ponte Vedra, FL 32081
(904) 824-1020
✔ PECOS✔ Accepts Medicare4.5 mi
Andrew Lourens, APRN
Nurse Practitioner
NPI 1568956456
400 COLONNADE DR STE 160
Ponte Vedra, FL 32081
(904) 824-1020
✔ PECOS✔ Accepts Medicare4.5 mi
Elizabeth Mcquagge, APRN
Nurse Practitioner
NPI 1346852274
400 COLONNADE DR STE 160
Ponte Vedra, FL 32081
(904) 824-1020
✔ PECOS4.5 mi
Michael Greenblatt, MD
Internal Medicine
NPI 1619066099
8595 SAINT JOHNS PKWY STE B103
St Augustine, FL 32092
(904) 376-4940
✔ PECOS✔ Accepts Medicare4.9 mi
Kathryn Lawson, DO
Rheumatology
NPI 1609962679
13241 BARTRAM PARK BLVD UNIT 2105
Jacksonville, FL 32258
(904) 292-4111
✔ PECOS✔ Accepts Medicare5.0 mi
Annabelle Lee, MD
Rheumatology
NPI 1043341795
13241 BARTRAM BLVD. SUITE 2105
Jacksonville, FL 32258
(904) 292-4111
✔ PECOS✔ Accepts Medicare5.0 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 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.

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.

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, 5 practice at this address and 65 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 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.