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ANASTASIA PEDIATRICS
NPI 1205192739
Pediatrics in St Augustine, FL

Active since April 10, 2012CLIA 10D1060446 · Waiver
100 WHETSTONE PL, SUITE 205, ST AUGUSTINE, FL 32086(904) 819-9925(904) 819-9926 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anastasia Pediatrics NPPES

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

ANASTASIA PEDIATRICS (NPI 1205192739) is a healthcare organization registered as a pediatrics in St Augustine, Florida and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Monali Manikal, Doctor, as its authorized official.

NPPES Registry Identity

NPI1205192739
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANASTASIA PEDIATRICS
Location Address100 WHETSTONE PL, SUITE 205St Augustine, FL 32086-5774
Mailing Address100 Whetstone Pl, Suite 205St Augustine, FL 32086-5774 · (904) 819-9925 · Fax (904) 819-9926
Phone(904) 819-9925
Fax(904) 819-9926
Organization SubpartNo
Authorized OfficialMonali ManikalDoctor · (904) 819-9925
Enumeration DateApril 10, 2012
Last NPPES UpdateApril 30, 2013
✔ NPI 1205192739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME0081118
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 WHETSTONE PL, St Augustine, FL 32086
Open in Google Maps ↗

Other Identifiers 2

Medicaid259789600FL
Medicaid003482600FL

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 Ambetter Health, Ambetter of Alabama, AvMed.Insurance ›

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 10D1060446

Anastasia Pediatrics · Saint Augustine, FL
Active · expires Oct 23, 2026
CLIA Number10D1060446
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorMonali Manikal
Laboratory Phone(904) 819-9925
Laboratory LocationAnastasia Pediatrics101 Whitehall Dr Ste 103, Saint Augustine, FL 32086
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

PATRICK ZIEMANN-GIMMEL MD
Anesthesiology
100 WHETSTONE PL
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4478
LIGHTHOUSE PEDIATRICS PLLC
Pediatrics
100 WHETSTONE PL, SUITE 211
ST AUGUSTINE, FL 32086
St. Johns County (904) 342-7648
WILLIAM J OKTAVEC MD PA
Ophthalmology
100 WHETSTONE PL, SUITE 106
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3937
BERNARD R BORBELY MD
Internal Medicine (Pulmonary Disease)
100 WHETSTONE PL, SUITE208
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-6800
DR. WALID OMAR MD
Family Medicine
100 WHETSTONE PL, SUITE 204
ST AUGUSTINE, FL 32086
St. Johns County (217) 720-3144
BETHANY ANN BROWN ARNP
Nurse Practitioner
100 WHETSTONE PL
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 746-1095
FARGHALY MEDICAL, PLLC
Family Medicine
100 WHETSTONE PL, SUITE 208
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-7932
DR. WILLIAM FRANCIS FOODY JR. M.D.
Internal Medicine (Gastroenterology)
100 WHETSTONE PL, STE 105
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-9557

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 Anastasia Pediatrics's NPI number?

The NPI number for Anastasia Pediatrics is 1205192739. It was assigned to this organization in the NPPES registry on April 10, 2012.

Where is Anastasia Pediatrics located?

Anastasia Pediatrics is located at 100 Whetstone Pl Suite 205, St Augustine, FL 32086. The listed phone number is (904) 819-9925.

What is Anastasia Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Anastasia Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1060446) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anastasia Pediatrics accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Anastasia Pediatrics 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 Anastasia Pediatrics was last updated on April 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.