BAPTIST UROLOGY, INC.
NPI 1689011710
Urology in Fernandina Beach, FL

Q: What is Baptist Urology, Inc.'s NPI number?

The NPI number for Baptist Urology, Inc. is 1689011710. It was assigned to this organization in the NPPES registry on May 30, 2013.

Q: What is Baptist Urology, Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 30, 2013CLIA 10D2098436 · Waiver

1348 S 18TH ST STE 210, FERNANDINA BEACH, FL 32034(904) 277-2003(904) 376-3271 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Dec 12, 2018, Dec 28, 2017 (3 updates tracked since 2017).

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About Baptist Urology, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST UROLOGY, INC. (NPI 1689011710) is a healthcare organization registered as an urology in Fernandina Beach, Florida and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Masha Donaldson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689011710

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameBAPTIST UROLOGY, INC.

Location Address1348 S 18TH ST STE 210Fernandina Beach, FL 32034-4785

Mailing AddressPo Box 746643Atlanta, GA 30374-6643 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 277-2003

Fax(904) 376-3271

Organization SubpartNo

Authorized OfficialMasha DonaldsonAdministrator · (904) 376-3707

Enumeration DateMay 30, 2013

Last NPPES UpdateJune 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1689011710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1348 S 18TH ST STE 210, Fernandina Beach, FL 32034

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Other Identifiers 1

OtherDU3519FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D2098436

Baptist Urology · Fernandina Beach, FL

Active · expires Jul 6, 2027

CLIA Number10D2098436

Laboratory TypePhysician Office

Certificate Effective DateJuly 7, 2025

Certificate Expiration DateJuly 6, 2027

Laboratory DirectorKenneth Son

Laboratory Phone(904) 277-2003

Laboratory LocationBaptist Urology1348 S 18th St - Ste 230, Fernandina Beach, FL 32034

CLIA data matches this NPI record on: 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.

SEBASTIAN ALEJANDRO MIKULIC DO

Internal Medicine (Pulmonary Disease)