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NPI Code Detail

MEDICARE: BAPTIST PRIMARY CARE

MEDICARE: BAPTIST PRIMARY CARE
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
1363L00000XNurse Practitioner
2207R00000XInternal Medicine Physician
3363A00000XPhysician Assistant
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1902087836
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST PRIMARY CARE
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 950 MARSH LANDING PKWY STE 105B
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-1408
Country : US
Telephone Number : 904-376-4900
Fax Number : 904-390-7546
Authorized Official
Title or Position : VICE PRESIDENT
Name : ELIZABETH TIBBS
Credential :
Telephone Number : 904-202-3283
Provider Enumeration Date : 11/20/2007
Last Update Date : 04/27/2026

Similar Medicare Providers

1093921645 — DR. JENNIFER LEIGH KNIGHT M.D.
Practice Location Address:
950 MARSH LANDING PKWY STE 105A
JACKSONVILLE BEACH, FL
32250-1408
Practice Phone: 904-280-1225
Practice Fax: 904-390-7504
1982865283 — CHRISTINA ANDERSON CONNER MD
Practice Location Address:
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1831693662 — DR. BRETT JACKSON MURRAY MD
Practice Location Address:
950 MARSH LANDING PKWY STE 105A
JACKSONVILLE BEACH, FL
32250-1408
Practice Phone: 904-280-1225
Practice Fax: 904-390-7505
1861960122 — MEGHAN JONATHAN APRN
Practice Location Address:
950 MARSH LANDING PKWY STE 105B
JACKSONVILLE BEACH, FL
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1508475815 — BAPTIST PRIMARY CARE INC
Practice Location Address:
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Practice Fax: 904-285-4522
1184201758 — DANA RACHAEL EYERLY MD
Practice Location Address:
950 MARSH LANDING PKWY STE 105A
JACKSONVILLE BEACH, FL
32250-1408
Practice Phone: 904-280-1225
Practice Fax: 904-390-7505

Directions to “BAPTIST PRIMARY CARE ” Practice Location

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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.

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