MEDICARE: BAPTIST NEUROLOGY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084V0102X	Vascular Neurology Physician
2	2084N0400X	Neurology Physician		FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DR0092	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598995599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST NEUROLOGY INC

Provider Business Mailing Address
First Line	:	PO BOX 746649
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6649
Country	:	US
Telephone Number	:	904-376-3707
Fax Number	:	904-391-5001

Provider Business Practice Location Address
First Line	:	1660 PRUDENTIAL DR STE 320
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8197
Country	:	US
Telephone Number	:	904-376-3707
Fax Number	:	904-391-5001

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TYRONE MCCLOUD
Credential	:
Telephone Number	:	904-202-5367

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	01/29/2026

Similar Medicare Providers

1689817405 — BAPTIST PULMONARY SPECIALISTS INC
Practice Location Address:

1660 PRUDENTIAL DR STE 320
JACKSONVILLE, FL
32207-8197

Practice Phone: 904-376-3707
Practice Fax: 904-391-5001

1407226228 — BAPTIST SPECIALTY PHYSICIANS INC
Practice Location Address:

1660 PRUDENTIAL DR STE 320
JACKSONVILLE, FL
32207-8197

Practice Phone: 904-376-3707
Practice Fax: 904-391-5001

1437132586 — DR. GARY THOMAS GABOR MD
Practice Location Address:

1660 PRUDENTIAL DR , SUITE 310
JACKSONVILLE, FL
32207-8197

Practice Phone: 904-396-8656
Practice Fax: 904-390-7488

1215998513 — DR. ARCHANA GUPTA GOEL M.D.
Practice Location Address:

1660 PRUDENTIAL DR , SUITE 310
JACKSONVILLE, FL
32207-8197

Practice Phone: 904-396-8656
Practice Fax: 904-396-5931

1023038072 — JOHN PETER BYRON JR. PSYD
Practice Location Address:

1660 PRUDENTIAL DR STE 410
JACKSONVILLE, FL
32207-8197

Practice Phone: 904-376-3800
Practice Fax: 904-396-8970

1467741264 — BAPTIST ENT SPECIALISTS INC
Practice Location Address:

1660 PRUDENTIAL DR STE 320
JACKSONVILLE, FL
32207-8197

Practice Phone: 904-376-3707
Practice Fax: 904-391-5001

Directions to “BAPTIST NEUROLOGY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.