BAPTIST PRIMARY CARE INC. (NPI# 1679881536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679881536 |
| Entity Type | Organization |
| Organization Name | BAPTIST PRIMARY CARE INC. |
| Practice Address |
1888 S 14th St Fernandina Beach FL 32034-3054 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042610922 |
| Practice Fax Number | 9042778872 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | MARSHA DONALDSON (VICE PRESIDENT) |
| Authorized Official Telephone | 9043763703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP | 45274 | 01 |
| FL | 2654954-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851561666 | Baptist Primary Care Inc. | Family Medicine | 1854 Lime St, Suite 6, Fernandina Bch, FL 32034 | 2008-03-07 |
| 1790086593 | Baptist Primary Care Inc. | Family Medicine | 820 Prudential Dr, Suite 304, Jacksonville, FL 32207-8210 | 2010-11-10 |
| Street Address |
1888 S 14TH ST |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124002522 | Diana R Twiggs | Family Medicine | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2005-11-30 |
| 1336542430 | Kimberly Bibb | Nurse Practitioner | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2014-10-02 |
| 1508054388 | Diana R Twiggs Md | Family Medicine | 1888 S 14th St, Fernandina Beach, FL 32034-3054 | 2007-10-05 |
| 1720047137 | Jacob Blum | Family Medicine | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275714214 | Baptist Primary Care Inc | Family Medicine | 1864 Lime St, Suite 5, Fernandina Beach, FL 32034-4795 | 2007-11-19 |
| 1710950050 | David P Page | Family Medicine | 220 S 14th St, Fernandina Beach, FL 32034-3216 | 2006-02-08 |
| 1174501571 | Edward Dominick Tribuzio | Family Medicine | 1340 S 18th St, Suite 204, Fernandina Beach, FL 32034-4799 | 2006-01-05 |
| 1124002522 | Diana R Twiggs | Family Medicine | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2005-11-30 |
| 1891063509 | Edward D. Tribuzio, M.d., P.a. | Family Medicine | 1340 S 18th St, Suite 204, Fernandina Beach, FL 32034-4799 | 2011-12-08 |
| 1649584079 | Physicians Group Services Pa | Family Medicine | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4744 | 2010-07-27 |
| 1710157102 | Baptist Primary Care Inc | Family Medicine | 1864 Lime St, Suite 6, Fernandina Beach, FL 32034-4795 | 2008-03-03 |
| 1508054388 | Diana R Twiggs Md | Family Medicine | 1888 S 14th St, Fernandina Beach, FL 32034-3054 | 2007-10-05 |
| 1720047137 | Jacob Blum | Family Medicine | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2006-03-23 |
| 1912972530 | Daniel James Matricia | Family Medicine | 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | 2006-02-17 |
| Find all providers in FERNANDINA BEACH | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.