OrganizationActive
Baymeadows Primary Care, Inc.
NPI 1174512701 · Family Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1174512701
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- S. Imam, Practice Administrator/ Cfo(904) 636-5400
- License
- ME81517 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Phone: (904) 636-5400
Fax: (904) 928-0654
Street-level locationGet directions
Mailing address
10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Other names (DBA / former)
- Doing business as
- Baymeadows Healthcare
Registry dates
- Enumerated
- 2005-10-17
- Last updated
- 2012-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.