Bayli Briana Waldroup

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9112754 Issued in FL

Practice address

7017 A C Skinner Pkwy
Jacksonville, FL 32256-6932

Phone

(813) 401-0628

NPI assigned

Dec 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Physician Specialists LLC

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1588917108
  Medicare reassignment
• Florida Physician Specialists LLC

  • Urology Physician
  • Jacksonville, FL
  • NPI 1083959563
  NPD

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1275172231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 CORPORATE CENTER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160988",
            "telephone_number": "813-401-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 A C SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566932",
            "telephone_number": "813-401-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROUP",
        "first_name": "BAYLI",
        "middle_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-22",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "9112754",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Waldorf, MD
• Kristen Alyse Hoffer Waldorf, MSW
• Anne H Waldron, MD
• Lindsay Nussbaum Waldron
• Nathan Hunter Waldron, M.D.
• James A Waler, MD
• Cara Wales
• Walgreeen Co.
• Walgreen Co
• Walgreen Co

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.