Organization Active NPI

Baptist Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1013160704
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAPTIST PRIMARY CARE INC
Practice address
532 Riverside Ave Ste 103
Jacksonville, FL 32202-4914
Phone
(904) 353-5696
Fax
(904) 390-7483
NPI assigned
Oct 28, 2008
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marsha Donaldson
Title
Vice President
Phone
(904) 376-3703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

532 Riverside Ave Ste 103
Jacksonville, FL 32202-4914

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000248 FL Part B Supplier - Clinic/Group Practice 0648177733 Receives reassigned benefits from 567 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0268307Baptist Primary Care Inc532 Riverside Ave - Ste 103, Jacksonville, FL 32202Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations (25 of 32)

45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544

1348 S 18th St
Ste 100
Fernandina Beach, FL 32034
Phone (904) 261-0878

2310 Village Square Pkwy
Ste 206
Fleming Island, FL 32003
Phone (904) 264-4405

2839 Henley Rd
Green Cove Springs, FL 32043
Phone (904) 376-4950

4380 Lewis Ave
Green Cove Springs, FL 32043
Phone (904) 284-8579

10337 San Jose Blvd
Ste 200
Jacksonville, FL 32257
Phone (904) 260-3200

10475 Centurion Pkwy N
Ste 203
Jacksonville, FL 32256
Phone (904) 998-2464

10601 San Jose Blvd
Ste 1401
Jacksonville, FL 32257
Phone (904) 260-3200

10601 San Jose Blvd
Ste 1404
Jacksonville, FL 32257
Phone (904) 202-9204

11236 Baptist Health Dr
Ste 220
Jacksonville, FL 32218
Phone (904) 696-6900

11261 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 292-9033

11401 Old Saint Augustine Rd
Fl 2
Jacksonville, FL 32258
Phone (904) 260-0856

13001 Atlantic Blvd
Unit 2
Jacksonville, FL 32225
Phone (904) 221-0264

13241 Bartram Park Blvd
Unit 2101
Jacksonville, FL 32258
Phone (904) 292-4111

13720 Old St Augustine Rd
Ste 1
Jacksonville, FL 32258
Phone (904) 288-5550

14011 Beach Blvd
Ste 400
Jacksonville, FL 32250
Phone (904) 992-1601

1403 Dunn Ave
Jacksonville, FL 32218
Phone (904) 696-6900

14534 Old Saint Augustine Rd
Ste 3110A
Jacksonville, FL 32258
Phone (904) 202-4325

14540 Old Saint Augustine Rd
Ste 2471
Jacksonville, FL 32258
Phone (904) 493-7680

4085 University Blvd
Jacksonville, FL 32216
Phone (904) 737-1171

5491 Dolphin Point Blvd
Ste 3110
Jacksonville, FL 32211
Phone (904) 744-5244

8102 Blanding Blvd
Ste 14
Jacksonville, FL 32244
Phone (904) 778-3200

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

1350 13th Ave S
Ste 216
Jacksonville Beach, FL 32250
Phone (904) 247-7778

1370 13th Ave S
#216A
Jacksonville Beach, FL 32250
Phone (904) 246-6940

Practitioners & affiliated clinicians

Practitioners 611

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 611

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1013160704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 RIVERSIDE AVE STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024914",
            "telephone_number": "904-353-5696",
            "fax_number": "904-390-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-376-3703"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.