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ATLANTIC UROLOGICAL ASSOCIATES P A
NPI 1053532572
Urology in St Augustine, FL

Active since May 01, 2007
2460 OLD MOULTRIE RD, SUITE 5, ST AUGUSTINE, FL 32086(904) 794-7870 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Atlantic Urological Associates P A NPPES

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

ATLANTIC UROLOGICAL ASSOCIATES P A (NPI 1053532572) is a healthcare organization registered as an urology in St Augustine, Florida and active in the NPI registry since May 2007. The organization lists Jerri Creggar, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1053532572
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameATLANTIC UROLOGICAL ASSOCIATES P A
Location Address2460 OLD MOULTRIE RD, SUITE 5St Augustine, FL 32086-4197
Mailing Address545 Health BlvdDaytona Beach, FL 32114-1493 · (386) 239-8500
Phone(904) 794-7870
Organization SubpartNo
Authorized OfficialJerri CreggarChief Operating Officer · (386) 239-8500
Enumeration DateMay 1, 2007
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1053532572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2460 OLD MOULTRIE RD, St Augustine, FL 32086
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYMPHATIC WELLNESS CENTER, LLC
Occupational Therapist
2460 OLD MOULTRIE RD, SUITE 4
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-8787
MAYRALIS ENAMORADO MD
General Practice
2460 OLD MOULTRIE RD
ST AUGUSTINE, FL 32086
St. Johns County (939) 269-4497
DR. GEORGE EDWARD SADOWSKI M.D.
Surgery
2460 OLD MOULTRIE RD
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-6627
LINA L FEASTER PA
Clinic/Center (Primary Care)
2460 OLD MOULTRIE RD, SUITE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 794-2424

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 Atlantic Urological Associates P A's NPI number?

The NPI number for Atlantic Urological Associates P A is 1053532572. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Atlantic Urological Associates P A located?

Atlantic Urological Associates P A is located at 2460 Old Moultrie Rd Suite 5, St Augustine, FL 32086. The listed phone number is (904) 794-7870.

What is Atlantic Urological Associates P A's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Atlantic Urological Associates P A was last updated on February 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.