Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerry Mark Bachista, MD

Individual provider Emergency Medicine Physician · NPI 1891845798

Kerry Mark Bachista, MD is an Emergency Medicine in Jacksonville, Florida. Qualified in 2005, 21 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
21
Licensed in
FL, GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4700 Waters Ave, Savannah, GA 31404-6220 — (912) 350-3849
  • 200 1st St Sw, Rochester, MN 55905-0001 — (190) 495-3200

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME101449 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 60790 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence TRN9208 (FL)

Record details

NPI number1891845798
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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