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BAPTIST PRIMARY CARE INC
NPI 1689189540
Internal Medicine in Jacksonville Beach, FL

Active since December 13, 2017CLIA 10D1017632 · Waiver
1370 13TH AVE S STE 216, JACKSONVILLE BEACH, FL 32250(904) 247-7778(904) 241-9673 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 22, 2023, Dec 12, 2018, Dec 13, 2017 (3 updates tracked since 2017).

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1689189540) is a healthcare organization registered as an internal medicine in Jacksonville Beach, Florida and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1689189540
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address1370 13TH AVE S STE 216Jacksonville Beach, FL 32250-3206
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 247-7778
Fax(904) 241-9673
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateDecember 13, 2017
Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1689189540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
1370 13TH AVE S STE 216, Jacksonville Beach, FL 32250
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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 ›

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 10D1017632

Baptist Primary Care · Jacksonville Beach, FL
Active · expires Sep 29, 2027
CLIA Number10D1017632
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorJose R. Tamayo
Laboratory Phone(904) 247-7778
Laboratory LocationBaptist Primary Care1370 13th Ave South Mob A Ste 216, Jacksonville Beach, FL 32250
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 2

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

JESSICA BRADSHAW REINHARDT APRN
Nurse Practitioner
1370 13TH AVE S STE 216
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-7778
RACHEL DIERKS SYKES PA-C
Physician Assistant
1370 13TH AVE S STE 216
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-7778

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 1689189540. It was assigned to this organization in the NPPES registry on December 13, 2017.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 1370 13th Ave S Ste 216, Jacksonville Beach, FL 32250. The listed phone number is (904) 247-7778.

What is Baptist Primary Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Baptist Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1017632) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 22, 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.