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CRESCENT BEACH CARE LLC
NPI 1033451380
Family Medicine in St Augustine, FL

Active since March 25, 2013CLIA Certified · 2 labs
6573 A1A SOUTH, ST AUGUSTINE, FL 32080(904) 342-7363(904) 342-7367 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Crescent Beach Care Llc NPPES

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

CRESCENT BEACH CARE LLC (NPI 1033451380) is a healthcare organization registered as a family medicine in St Augustine, Florida and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Adrian S. Long, Owner/member Managed, as its authorized official.

NPPES Registry Identity

NPI1033451380
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESCENT BEACH CARE LLC
Location Address6573 A1A SOUTHSt Augustine, FL 32080
Mailing Address6573 A1a SouthSt Augustine, FL 32080 · (904) 342-7363 · Fax (904) 342-7367
Phone(904) 342-7363
Fax(904) 342-7367
Organization SubpartNo
Authorized OfficialAdrian S. LongOwner/member Managed · (904) 342-7363
Enumeration DateMarch 25, 2013
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1033451380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6573 A1A SOUTH, St Augustine, FL 32080
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Crescent Beach Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Crescent Beach Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Adrian Long, M.D.
Family Practice
NPI 1346407962
6573 A1A S
Saint Augustine, FL 32080
(904) 342-7363
✔ PECOS✔ Accepts MedicareSame address
Margret Thorhallsdottir, M.D.
Family Practice
NPI 1124298831
6573 A1A S
Saint Augustine, FL 32080
(904) 342-7363
✔ PECOS✔ Accepts MedicareSame address
Rezwan Ashdji, M.D.
Internal Medicine
NPI 1730190042
1301 PLANTATION ISLAND DR S SUITE 402 B
St Augustine, FL 32080
(904) 823-3777
✔ PECOS✔ Accepts Medicare6.7 mi
Daniel Donofrio, MD
Family Practice
NPI 1710090915
130 HEALTH PARK BLVD
Saint Augustine, FL 32086
(904) 826-3469
✔ PECOS7.2 mi
Dudley Baringer, M.D.
Family Practice
NPI 1851463731
120 HEALTH PARK BLVD SUITE 1
St Augustine, FL 32086
(904) 823-3401
✔ PECOS✔ Accepts Medicare7.2 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 2

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 10D2063011

Crescent Beach Care LLC · Saint Augustine, FL
Active · expires Jul 24, 2027
CLIA Number10D2063011
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorMargret Thorhallsdottir
Laboratory Phone(904) 342-7363
Laboratory LocationCrescent Beach Care LLC6573 Aia South, Saint Augustine, FL 32080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2330489

Crescent Beach Care LLC · Saint Augustine, FL
Active · expires Sep 16, 2027
CLIA Number10D2330489
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorMargret Thorhallsdottir
Laboratory Phone(904) 344-6125
Laboratory LocationCrescent Beach Care LLC975 S Ponce De Leon Blvd, Saint Augustine, FL 32084
CLIA data matches this NPI record on: Name
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 Crescent Beach Care LLC's NPI number?

The NPI number for Crescent Beach Care LLC is 1033451380. It was assigned to this organization in the NPPES registry on March 25, 2013.

Where is Crescent Beach Care LLC located?

Crescent Beach Care LLC is located at 6573 A1a South, St Augustine, FL 32080. The listed phone number is (904) 342-7363.

What is Crescent Beach Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Crescent Beach Care LLC enrolled in Medicare?

Yes. Crescent Beach Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crescent Beach Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Crescent Beach Care LLC. 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 Family Practice (4) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crescent Beach Care LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Crescent Beach Care LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Crescent Beach Care LLC 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 Crescent Beach Care LLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.