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

Active since November 19, 2007
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: October 18, 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 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
Phone(904) 287-2794
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
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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, 3 practice at this address and 120 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
Sarah Hagerbrant, DO
Family Practice
NPI 1770041477
30 ARDISIA LANE
St. Johns, FL 32259
(904) 287-2794
✔ PECOS✔ Accepts MedicareSame address
Jaime Kibler-Mccormick, D.O.
Family Practice
NPI 1194796813
30 ARDISIA LANE
St. Johns, FL 32259
(904) 287-2794
✔ PECOS✔ Accepts MedicareSame address
Donald Levine, M.D.
Family Practice
NPI 1982673745
30 ARDISIA LANE
St. Johns, FL 32259
(904) 287-2794
✔ PECOS✔ Accepts MedicareSame address
Heather Nielsen, DO
Family Practice
NPI 1366861981
14830 INGLE LN
Jacksonville, FL 32223
(205) 223-6261
✔ PECOS✔ Accepts Medicare1.1 mi
Sharon Brown, APRN
Nurse Practitioner
NPI 1720299449
2570 RACE TRACK RD STE A
Saint Johns, FL 32259
(904) 819-1005
✔ PECOS✔ Accepts Medicare1.9 mi
Prasuna Jami, M.D.
Endocrinology
NPI 1043318132
11945 SAN JOSE BLVD STE 301
Jacksonville, FL 32223
(904) 260-9699
✔ PECOS✔ Accepts Medicare2.2 mi
Sirlys Arcon Rios, MD
Endocrinology
NPI 1508186727
11945 SAN JOSE BLVD SUITE 301
Jacksonville, FL 32223
(904) 260-9016
✔ PECOS✔ Accepts Medicare2.2 mi
Terry Hayes, MD
Family Practice
NPI 1932186285
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS3.3 mi
Tyler House, D.O.
Internal Medicine
NPI 1982020319
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare3.3 mi
Naim Quail, MD
Family Practice
NPI 1366948077
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare3.3 mi
Sofija Rak, MD
Family Practice
NPI 1225359557
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare3.3 mi
Allen Todd, M.D.
Family Practice
NPI 1851739825
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare3.3 mi
Catherine Iyoha-Idiong, MB CHB
Family Practice
NPI 1306425079
11261 SAN JOSE BLVD
Jacksonville, FL 32223
(904) 292-9033
✔ PECOS✔ Accepts Medicare3.3 mi
Jessica Kirkey, APRN
Nurse Practitioner
NPI 1871301010
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS✔ Accepts Medicare3.3 mi
Joshua Russell, DO
Family Practice
NPI 1396236469
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS✔ Accepts Medicare3.3 mi
Katherine Hamilton, APRN
Nurse Practitioner
NPI 1275142853
11401 OLD SAINT AUGUSTINE RD
Jacksonville, FL 32258
(904) 260-1818
✔ PECOS✔ Accepts Medicare3.3 mi
Andre Nunley, APRN
Nurse Practitioner
NPI 1922449180
10337 SAN JOSE BLVD STE 200
Jacksonville, FL 32257
(904) 260-3200
✔ PECOS✔ Accepts Medicare4.7 mi
Claudia Knox, MD
Internal Medicine
NPI 1639596752
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS✔ Accepts Medicare4.7 mi
Carly Strickland, APRN
Nurse Practitioner
NPI 1285807578
13720 OLD SAINT AUGUSTINE RD STE 1
Jacksonville, FL 32258
(904) 288-5550
✔ PECOS4.7 mi
Rodney Marcom, D.O.
Osteopathic Manipulative Medicine
NPI 1588631659
10240 SAN JOSE BLVD
Jacksonville, FL 32257
(904) 262-9204
✔ PECOS✔ Accepts Medicare4.8 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 10D1002177

Baptist Primary Care Inc · St Johns, FL
Expired · 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.

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.

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, 3 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8, 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.