NPIMap

Organization Active NPI

Baptist Specialty Physicians Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jacksonville, FL
National Provider Identifier
1407226228
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BAPTIST SPECIALTY PHYSICIANS INC
Practice address
1660 Prudential Dr Ste 320
Jacksonville, FL 32207-8197
Phone
(904) 376-3707
Fax
(904) 391-5001
NPI assigned
Oct 6, 2015
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PAVILION HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Mr. Thabata Batchelor
Title
Administrator
Phone
(904) 202-5048

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X FL
Pediatric Critical Care Medicine Physician 2080P0203X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X FL Primary

Addresses

Primary practice location

1660 Prudential Dr Ste 320
Jacksonville, FL 32207-8197

Mailing address

PO Box 746645
Atlanta, GA 30374-6645
Phone (904) 376-4083

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171220001665 FL Part B Supplier - Clinic/Group Practice 3375597313 Receives reassigned benefits from 41 practitioners
Practice locations: Daytona Beach, FL; Fleming Island, FL; Jacksonville, FL; Lake City, FL; Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

836 Prudential Dr
Ste 802
Jacksonville, FL 32207
Phone (904) 202-8290

841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290

1747 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 202-8550

3025 Shrine Rd
Ste 350
Brunswick, GA 31520
Phone (904) 202-8550

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1407226228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746645",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746645",
            "telephone_number": "904-376-4083",
            "fax_number": "904-391-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 PRUDENTIAL DR STE 320",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078197",
            "telephone_number": "904-376-3707",
            "fax_number": "904-391-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST SPECIALTY PHYSICIANS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAVILION HEALTH SERVICES INC",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "BATCHELOR",
        "authorized_official_first_name": "THABATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-202-5048",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "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 Jan 29, 2026; 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.