BAPTIST PRIMARY CARE INC NPI 1396415212

NPI Information

  • NPI: 1396415212
  • Provider Name: BAPTIST PRIMARY CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2125570
  • Address: 1029 ATLANTIC BLVD
    ATLANTIC BEACH, FL
    ZIP 32233
  • Phone: (904) 246-7520

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NPI Details

BAPTIST PRIMARY CARE INC is a family medicine in Atlantic Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAPTIST PRIMARY CARE INC NPI is 1396415212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1029 ATLANTIC BLVD
ATLANTIC BEACH, FL
ZIP 32233
Phone: (904) 246-7520
Fax: (904) 390-7448

The provider's authorized official is Marsha Donaldson .
The authorized official title is Vice Resident and has the following contact phone number (904) 202-2141.

The CLIA number assigned to this NPI record is 10D2125570 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2021 and was last updated on 9/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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