MEDICARE: BAPTIST PULMONARY SPECIALISTS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RS0010X	Sports Medicine (Internal Medicine) Physician
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician
4	207RP1001X	Pulmonary Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BY513A	OTHER	FL	MEDICARE GROUP PTAN

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

General Provider Information

NPI Number	:	1689817405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST PULMONARY SPECIALISTS INC

Provider Business Mailing Address
First Line	:	PO BOX 746641
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6641
Country	:	US
Telephone Number	:	904-202-1032
Fax Number	:	904-376-4107

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	:	DIRECTOR
Name	:	CATHERINE HOLLOWAY
Credential	:
Telephone Number	:	904-202-5378

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	01/29/2026

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Directions to “BAPTIST PULMONARY SPECIALISTS INC ” Practice Location

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