ST JOHNS COUNTY HEALTH DEPARTMENT
NPI 1023081932
Public Health or Welfare in St Augustine, FL

Active since February 10, 2006CLIA 10D0884169 · Waiver
200 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084(904) 506-6081(904) 825-6875 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2024, Mar 14, 2016 (2 updates tracked since 2016).

About St Johns County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHNS COUNTY HEALTH DEPARTMENT (NPI 1023081932) is a healthcare organization registered as a public health or welfare in St Augustine, Florida and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Shane Lockwood, Health Officer, as its authorized official.

NPPES Registry Identity

NPI1023081932
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameFLORIDA DEPARTMENT OF HEALTH
Location Address200 SAN SEBASTIAN VWSt Augustine, FL 32084-8695
Mailing Address200 San Sebastian VwSt Augustine, FL 32084-8695 · (904) 506-6081 · Fax (904) 825-6875
Fax(904) 825-6875
Organization SubpartNo
Authorized OfficialShane LockwoodHealth Officer · (904) 506-6153
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1023081932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
200 SAN SEBASTIAN VW, St Augustine, FL 32084

Other Names 1

Doing Business AsSt Johns County Health Department

Other Identifiers 3

Medicaid027965000FL
Other6000002143FL · Railroad Medicare Number
Other99309FL · Medicare Group Id

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Johns County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to St Johns County Health Department, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Infectious Disease
NPI 1093910879
1093 A1A BEACH BLVD PMB415
St Augustine, FL 32080
(904) 819-9925
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1750771127
430 STATE ROAD 13
Saint Johns, FL 32259
(904) 287-6369
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1528207552
301 DR CARTER BLVD
Bunnell, FL 32110
(386) 437-7350
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1790261501
1599 TROPICAL CT STE 8
Tavares, FL 32778
(650) 814-4524
✔ PECOS✔ Accepts Medicare80 mi
Infectious Disease
NPI 1528252624
205 DR MARTIN LUTHER KING JR ST N
St Petersburg, FL 33701
(727) 824-6921
✔ PECOS✔ Accepts Medicare169 mi
Nurse Practitioner
NPI 1609119205
205 DR MARTIN LUTHER KING JR ST N
St Petersburg, FL 33701
(727) 824-6900
✔ PECOS✔ Accepts Medicare169 mi
Internal Medicine
NPI 1477645661
101 S FEDERAL HWY
Dania Beach, FL 33004
(954) 399-9941
✔ PECOS✔ Accepts Medicare277 mi
Pediatric Medicine
NPI 1205836509
2500 MAIN ST
Lawrenceville, NJ 08648
(609) 896-0391
✔ PECOS806 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0884169

Florida Department Of Health In St Johns County · Saint Augustine, FL
Active · expires Apr 11, 2028
CLIA Number10D0884169
Laboratory TypePublic Health Laboratories
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorBruce H. Kraut
Laboratory Phone(904) 506-6081
Laboratory LocationFlorida Department Of Health In St Johns County200 San Sebastian View, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Department Of Health's NPI number?

The NPI number for Florida Department Of Health is 1023081932. It was assigned to this organization in the NPPES registry on February 10, 2006. The provider is doing business as St Johns County Health Department.

Where is Florida Department Of Health located?

Florida Department Of Health is located at 200 San Sebastian Vw, St Augustine, FL 32084. The listed phone number is (904) 506-6081.

What is Florida Department Of Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Florida Department Of Health enrolled in Medicare?

Yes. Florida Department Of Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Department Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Florida Department Of Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Infectious Disease (2) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Department Of Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0884169) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Department Of Health accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Department Of Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Department Of Health was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.