BAPTIST PRIMARY CARE
NPI 1902087836
Family Medicine in Jacksonville Beach, FL

Active since November 20, 2007CLIA 10D2278504 · Waiver
950 MARSH LANDING PKWY STE 105B, JACKSONVILLE BEACH, FL 32250(904) 376-4900(904) 390-7546 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2026, Dec 14, 2018 (2 updates tracked since 2018).

About Baptist Primary Care NPPES

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

BAPTIST PRIMARY CARE (NPI 1902087836) is a healthcare organization registered as a family medicine in Jacksonville Beach, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Elizabeth Tibbs, Vice President, as its authorized official.

NPPES Registry Identity

NPI1902087836
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAPTIST PRIMARY CARE
Location Address950 MARSH LANDING PKWY STE 105BJacksonville Beach, FL 32250-1408
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Fax(904) 390-7546
Organization SubpartNo
Authorized OfficialElizabeth TibbsVice President · (904) 202-3283
Enumeration DateNovember 20, 2007
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1902087836 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
950 MARSH LANDING PKWY STE 105B, Jacksonville Beach, FL 32250

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

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 10D2278504

Baptist Primary Care, Inc · Jacksonville Beach, FL
Active · expires Mar 19, 2027
CLIA Number10D2278504
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorShalaka Ghate
Laboratory Phone(904) 376-4900
Laboratory LocationBaptist Primary Care, Inc950 Marsh Landing Pkwy - Unit 105, Jacksonville Beach, FL 32250
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

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

Nurse Practitioner
950 MARSH LANDING PKWY STE 105B
JACKSONVILLE BEACH, FL 32250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902087836, enumerated as an "organization" on November 20, 2007.

The provider is located at 950 MARSH LANDING PKWY STE 105B JACKSONVILLE BEACH, FL 32250 and the phone number is (904) 376-4900.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.