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BAPTIST PRIMARY CARE INC
NPI 1881961126
Family Medicine in Fleming Island, FL

Active since November 30, 2011
2310 VILLAGE SQUARE PKWY STE 201, FLEMING ISLAND, FL 32003(904) 264-6404(904) 390-7455 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 15, 2026, Nov 8, 2023, Dec 14, 2018 (3 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 1881961126) is a healthcare organization registered as a family medicine in Fleming Island, Florida and active in the NPI registry since November 2011. The organization lists Elizabeth Tibbs, Vice President, as its authorized official.

NPPES Registry Identity

NPI1881961126
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address2310 VILLAGE SQUARE PKWY STE 201Fleming Island, FL 32003-6409
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 264-6404
Fax(904) 390-7455
Organization SubpartNo
Authorized OfficialElizabeth TibbsVice President · (904) 202-3283
Enumeration DateNovember 30, 2011
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1881961126 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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2310 VILLAGE SQUARE PKWY STE 201, Fleming Island, FL 32003
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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

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 10D0977150

Baptist Primary Care · Fleming Island, FL
Expired · Aug 21, 2026
CLIA Number10D0977150
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorPeter Jansen
Laboratory Phone(904) 264-6404
Laboratory LocationBaptist Primary Care2310 Village Square Pkwy - Ste 201, Fleming Island, FL 32003
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 3

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

MRS. BARBARA ANN AUSTIN APRN
Nurse Practitioner
2310 VILLAGE SQUARE PKWY STE 201
FLEMING ISLAND, FL 32003
Duval County (904) 264-6404
HEATHER MARIE GALL APRN, FNP-BC, MSN
Nurse Practitioner
2310 VILLAGE SQUARE PKWY STE 201
FLEMING ISLAND, FL 32003
Duval County (904) 264-6404
DR. ANGELA C BUSCH-DOBLE D.O.
Family Medicine
2310 VILLAGE SQUARE PKWY STE 201
FLEMING ISLAND, FL 32003
Duval County (904) 264-6404

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 1881961126. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 2310 Village Square Pkwy Ste 201, Fleming Island, FL 32003. The listed phone number is (904) 264-6404.

What is Baptist Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Baptist Primary Care Inc was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.