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BAPTIST PRIMARY CARE INC
NPI 1891976734
Family Medicine in Jacksonville, FL

Active since November 20, 2007CLIA 10D0676224 · Waiver
9090 REGENCY SQUARE BLVD, JACKSONVILLE, FL 32211(904) 724-5576(904) 724-0721 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Baptist Primary Care Inc NPPES

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

BAPTIST PRIMARY CARE INC (NPI 1891976734) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1891976734
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address9090 REGENCY SQUARE BLVDJacksonville, FL 32211-8119
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 724-5576
Fax(904) 724-0721
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateNovember 20, 2007
Last NPPES UpdateDecember 12, 2018
✔ NPI 1891976734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPediatricsTaxonomy 208000000X
9090 REGENCY SQUARE BLVD, Jacksonville, FL 32211
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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 10D0676224

Baptist Primary Care · Jacksonville, FL
Active · expires Jun 23, 2028
CLIA Number10D0676224
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorManuel Portalatin
Laboratory Phone(904) 724-5576
Laboratory LocationBaptist Primary Care9090 Regency Square Blvd N, Jacksonville, FL 32211
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 14

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

DR. MUHAMMAD A GHAZI M.D.
Family Medicine
9090 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32211
Duval County (904) 724-5576
SUZANNE G. GODWIN MD
Internal Medicine
9090 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32211
Duval County (904) 724-5576
JAMES A WALER MD
Pediatrics
9090 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32211
Duval County (904) 855-1335
CLAIRE J BYRD APRN,F.N.P.-C.
Nurse Practitioner
9090 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32211
Duval County (904) 724-5576
DR. MANUEL PORTALATIN MD
Family Medicine
9090 REGENCY SQUARE BLVD, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32211
Duval County (904) 724-5576
DR. JOSEPH P CRONIN DO
Family Medicine
9090 REGENCY SQUARE BLVD, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32211
Duval County (904) 724-5576
DR. LAIS P CABRERA MD
Family Medicine
9090 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32211
Duval County (904) 724-5576
DR. HENRY L GREENE DO
Internal Medicine
9090 REGENCY SQUARE BLVD
JACKSONVILLE, FL 32211
Duval County (904) 724-5576

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 1891976734. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 9090 Regency Square Blvd, Jacksonville, FL 32211. The listed phone number is (904) 724-5576.

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 10D0676224) is associated with this NPI, valid through June 23, 2028. 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 December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.