Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC
NPI 1083548861
Clinic/Center - Urgent Care in St Augustine, FL

Active since June 09, 2026CLIA 10D2307573 · Waiver
110 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(904) 823-3401 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Villages Regional Hospital Physician Services Llc NPPES

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

VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC (NPI 1083548861) is a healthcare organization registered as an urgent care in St Augustine, Florida and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Heather Long, Svp & Regional President, as its authorized official.

NPPES Registry Identity

NPI1083548861
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameVILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC
Location Address110 HEALTH PARK BLVDSt Augustine, FL 32086-5776
Mailing Address110 Health Park BlvdSt Augustine, FL 32086-5776 · (904) 823-3401
Organization SubpartYes
Authorized OfficialHeather LongSvp & Regional President · (352) 323-5001
Enumeration DateJune 9, 2026
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1083548861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
110 HEALTH PARK BLVD, St Augustine, FL 32086

Other Identifiers 1

Medicaid120400000FL

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 10D2307573

Uf Health Urgent Care -Flagler Hospital · St Augustine, FL
Active · expires Jul 10, 2028
CLIA Number10D2307573
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorMark Michaels
Laboratory Phone(904) 823-3401
Laboratory LocationUf Health Urgent Care -Flagler Hospital110 Health Park Blvd, St Augustine, FL 32086
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
110 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Physician Assistant
110 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
Physician Assistant
110 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
Emergency Medicine
110 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
Nurse Practitioner (Family)
110 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
Physician Assistant
110 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
Clinic/Center (Urgent Care)
110 HEALTH PARK BLVD
ST. AUGUSTINE, FL 32086
Physician Assistant
110 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086

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 Villages Regional Hospital Physician Services LLC's NPI number?

The NPI number for Villages Regional Hospital Physician Services LLC is 1083548861. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Villages Regional Hospital Physician Services LLC located?

Villages Regional Hospital Physician Services LLC is located at 110 Health Park Blvd, St Augustine, FL 32086. The listed phone number is (904) 823-3401.

What is Villages Regional Hospital Physician Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Villages Regional Hospital Physician Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2307573) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Villages Regional Hospital Physician Services LLC was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.