Active NPI
Baptist Primary Care Inc
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1427239474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BAPTIST PRIMARY CARE INC
- Practice address
- 10898 Baymeadows Rd
Suite 100
Jacksonville, FL 32256-4602 - Phone
- (904) 519-5338
- Fax
- (904) 519-5664
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marsha Donladson
- Title
- Vice President
- Phone
- (904) 376-3707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
10898 Baymeadows Rd
Suite 100
Jacksonville, FL 32256-4602
Mailing address
PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8614 Baymeadows Way
#100
Jacksonville, FL 32256
Phone (904) 396-0450
13720 Old St Augustine Rd
Ste 1
Jacksonville, FL 32258
Phone (904) 288-5550
4844 Deer Lake Dr W
Ste 1
Jacksonville, FL 32246
Phone (904) 738-8690
559 W Twincourt Trl
Unit 601
St Augustine, FL 32095
Phone (904) 493-8383
Practitioners & affiliated clinicians
Practitioners 117
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544745600000",
"number": "1427239474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45443",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841450443",
"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": "10898 BAYMEADOWS RD",
"address_2": "SUITE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564602",
"telephone_number": "904-519-5338",
"fax_number": "904-519-5664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST PRIMARY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2018-12-14",
"status": "A",
"authorized_official_last_name": "DONLADSON",
"authorized_official_first_name": "MARSHA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "904-376-3707"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"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 Dec 14, 2018; 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.