OrganizationActive
Baptist Obstetrics and Gynecology Inc
NPI 1154620169 · Obstetrics & Gynecology Physician · Jacksonville, FL
Provider details
- NPI number
- 1154620169
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Earl Mally, Senior Vice President(904) 376-4275
- License
- ME62735 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12341 Yellow Bluff Rd
Jacksonville, FL 32226-2025
Phone: (904) 225-2779
Fax: (904) 225-8477
Street-level locationGet directions
Mailing address
12341 Yellow Bluff Rd
Jacksonville, FL 32226-2025
Registry dates
- Enumerated
- 2011-03-17
- Last updated
- 2011-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.