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BAPTIST PRIMARY CARE INC.
NPI 1679881536
Family Medicine in Fernandina Beach, FL

Active since September 14, 2010CLIA 10D0266869 · Waiver
1210 VINTAGE WAY, FERNANDINA BEACH, FL 32034(904) 261-0922(904) 390-7477 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Dec 12, 2025, Oct 10, 2025 and 2 more (5 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 1679881536) is a healthcare organization registered as a family medicine in Fernandina Beach, Florida and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Elizabeth Beth, Vice President, as its authorized official.

NPPES Registry Identity

NPI1679881536
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC.
Location Address1210 VINTAGE WAYFernandina Beach, FL 32034-0299
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 261-0922
Fax(904) 390-7477
Organization SubpartNo
Authorized OfficialElizabeth BethVice President · (904) 202-3283
Enumeration DateSeptember 14, 2010
Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1679881536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1210 VINTAGE WAY, Fernandina Beach, FL 32034
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Other Identifiers 2

Medicaid2654954-00FL
Other45274FL · Bcbs Group

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

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 10D0266869

Baptist Primary Care Inc · Fernandina Beach, FL
Active · expires Nov 18, 2027
CLIA Number10D0266869
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorKyle Rezac
Laboratory Phone(904) 261-0922
Laboratory LocationBaptist Primary Care Inc1210 Vintage Way, Fernandina Beach, FL 32034
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.

KYLE A REZAC D.O.
Family Medicine
1210 VINTAGE WAY
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922
MRS. KIMBERLY H BIBB APRN
Nurse Practitioner
1210 VINTAGE WAY
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922
AMBER L. STUCKEY APRN
Nurse Practitioner (Family)
1210 VINTAGE WAY
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922
MRS. DEBORAH K PEACOCK APRN
Nurse Practitioner
1210 VINTAGE WAY
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922
VISHESH MEHRA DO
Family Medicine
1210 VINTAGE WAY
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-0922

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 1679881536. It was assigned to this organization in the NPPES registry on September 14, 2010.

Where is Baptist Primary Care Inc. located?

Baptist Primary Care Inc. is located at 1210 Vintage Way, Fernandina Beach, FL 32034. The listed phone number is (904) 261-0922.

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 10D0266869) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baptist Primary Care Inc. was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.