NPIMap

Organization Active NPI

Southern Baptist Hospital of Florida, Inc

Doing business as Baptist Clay

  • General Acute Care Hospital
  • Fleming Island, FL
National Provider Identifier
1174297626
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Doing business as
Baptist Clay
Practice address
1771 Baptist Clay Dr
Fleming Island, FL 32003-8501
Phone
(904) 516-1000
NPI assigned
Aug 6, 2021
Organization subpart
Yes
Parent organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Philip Boyce
Title
Chief Revenue Officer
Phone
(904) 376-3760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1771 Baptist Clay Dr
Fleming Island, FL 32003-8501

Mailing address

PO Box 45094
Jacksonville, FL 32232-5094

Other names 1

  • Baptist Clay Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BaptistJAXHIM@direct.bmcjax.com Direct

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
10D2053343Baptist Medical Center Clay1771 Baptist Clay Dr, Orange Park, FL 32003AccreditationAug 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
James Campbell18 organizations share this tax ID, including this one
Part of
James Campbell

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1174297626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45094",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322325094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 BAPTIST CLAY DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038501",
            "telephone_number": "904-516-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC",
        "enumeration_date": "2021-08-06",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "904-376-3760"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BaptistJAXHIM@direct.bmcjax.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1771 Baptist Clay Dr",
            "city": "Fleming Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320038501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baptist Clay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.