Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Baymeadows Primary Care, Inc.

Family Medicine Physician in Jacksonville, FL · enumerated 2005 · authorized official S. Imam, Practice Administrator/ Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174512701

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Registry record

Entity type Organization (Type 2)

Legal business name Baymeadows Primary Care, Inc.

Other name <Unavail>

Practice address 10058 Baymeadows Rd, Jacksonville, FL, 32256

Phone (904) 636-5400

Fax (904) 928-0654

Enumeration date Oct 17, 2005

Last updated in NPPES Mar 14, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME71382 (FL) Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License ME81517 (FL) Secondary

Authorized official

Name S. Imam

Title Practice Administrator/ Cfo

Phone (904) 636-5400

Other identifiers

Identifier	Type	State	Issuer
273849000	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-14. Verify at npiregistry.cms.hhs.gov.

Where is Baymeadows Primary Care, Inc. located?

The practice location on file with NPPES is in Jacksonville, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-14.