BAPTIST PRIMARY CARE INC
NPI 1669653622
Family Medicine in St Johns, FL

Active since November 19, 2007CLIA 10D1002177 · Waiver
30 ARDISIA LN, ST JOHNS, FL 32259(904) 287-2794(904) 390-7458 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2023, Dec 12, 2018 (2 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 1669653622) 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 September 26, 2026 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1669653622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address30 ARDISIA LNSt Johns, FL 32259-3881
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-1032 · Fax (904) 376-4107
Fax(904) 390-7458
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 19, 2007
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1669653622 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.

30 ARDISIA LN, St Johns, FL 32259

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

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 10D1002177

Baptist Primary Care Inc · St Johns, FL
Active · expires Sep 26, 2026
CLIA Number10D1002177
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorDonald Levine
Laboratory Phone(904) 287-2794
Laboratory LocationBaptist Primary Care Inc30 Ardisia Lane, St Johns, FL 32259
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Psychiatry)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Psychologist (Clinical)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Counselor (Mental Health)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Social Worker (Clinical)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Physician Assistant
30 ARDISIA LN
ST JOHNS, FL 32259

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 1669653622. 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 30 Ardisia Ln, St Johns, FL 32259. The listed phone number is (904) 287-2794.

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 10D1002177) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Primary Care Inc accept?

Health plans from AvMed, 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 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.