Baptist Primary Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAPTIST PRIMARY CARE INC

Practice address

2310 Village Square Pkwy Ste 206
Fleming Island, FL 32003-6409

Phone

(904) 264-4405

Fax

(904) 391-5380

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Marsha Donaldson

Title

Administrator

Phone

(904) 376-4275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1366880452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY RD",
            "address_2": "SUITE 340",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038501",
            "telephone_number": "904-264-4405",
            "fax_number": "904-391-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 VILLAGE SQUARE PKWY STE 206",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036409",
            "telephone_number": "904-264-4405",
            "fax_number": "904-391-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "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": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-376-4275"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Cardiology Inc
• Baptist ENT Specialists Inc
• Baptist MD Anderson Cancer Physicians
• Baptist MD Anderson Cancer Physicians Inc
• Baptist Neurology Inc
• Baptist Primary Care Inc
• Baptist Primary Care Inc
• Baptist Primary Care Inc
• Baptist Specialty Physicians Inc
• Angela Barnes

• Family Medicine Physician in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Family Medicine Physician in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.