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: October 18, 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
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

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

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 16 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
Nurse Practitioner
NPI 1336542430
1210 VINTAGE WAY
Fernandina Beach, FL 32034
(904) 261-0922
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548958812
1210 VINTAGE WAY
Fernandina Beach, FL 32034
(904) 261-0922
✔ PECOSSame address
Nurse Practitioner
NPI 1457933012
1210 VINTAGE WAY
Fernandina Beach, FL 32034
(904) 261-0922
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1124448071
1210 VINTAGE WAY
Fernandina Beach, FL 32034
(904) 261-0922
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346075595
1210 VINTAGE WAY
Fernandina Beach, FL 32034
(904) 261-0922
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497115133
910 S 8TH ST STE 121
Fernandina Beach, FL 32034
(517) 927-5460
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1710950050
220 S 14TH ST
Fernandina Beach, FL 32034
(904) 491-3688
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1366827925
463832 STATE ROAD 200
Yulee, FL 32097
(904) 225-2311
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1235643057
463832 STATE ROAD 200
Yulee, FL 32097
(904) 225-2311
✔ PECOS✔ Accepts Medicare5.9 mi
Family Practice
NPI 1700866621
463832 STATE ROAD 200
Yulee, FL 32097
(904) 225-2311
✔ PECOS✔ Accepts Medicare5.9 mi
Family Practice
NPI 1982673786
463832 SR 200 CREDENTIALING DEPARTMENT
Yulee, FL 32097
(904) 225-2311
✔ PECOS✔ Accepts Medicare5.9 mi
Family Practice
NPI 1245764133
463380 STATE ROAD 200 UNIT B
Yulee, FL 32097
(904) 326-8050
✔ PECOS✔ Accepts Medicare7.9 mi
Family Practice
NPI 1235190646
851042 US HIGHWAY 17
Yulee, FL 32097
(904) 225-3824
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1134596802
851042 US HIGHWAY 17
Yulee, FL 32097
(904) 225-3824
✔ PECOS✔ Accepts Medicare9.4 mi
Internal Medicine
NPI 1194701391
851042 US HIGHWAY 17
Yulee, FL 32097
(904) 225-3824
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1649250606
851042 US HIGHWAY 17
Yulee, FL 32097
(904) 225-3824
✔ PECOS✔ Accepts Medicare9.4 mi
Internal Medicine
NPI 1003519851
462626 STATE ROAD 200 STE 100
Yulee, FL 32097
(904) 225-3824
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1861927113
3122 NEW BERLIN RD
Jacksonville, FL 32226
(904) 633-0340
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1134474588
15255 MAX LEGGETT PKWY STE 3900
Jacksonville, FL 32218
(904) 383-1000
✔ PECOS✔ Accepts Medicare16 mi
Hospitalist
NPI 1407035009
700 3RD ST STE 102
Neptune Beach, FL 32266
(904) 202-4243
✔ PECOS✔ Accepts Medicare23 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 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.

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.

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 16 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 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 7 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.