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FLAGLER FAMILY MEDICINE P A
NPI 1215080809
Family Medicine in St Augustine, FL

Active since January 19, 2007CLIA Certified · 5 labs
130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(904) 826-3469(904) 808-4608 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Flagler Family Medicine P A NPPES

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

FLAGLER FAMILY MEDICINE P A (NPI 1215080809) is a healthcare organization registered as a family medicine in St Augustine, Florida and active in the NPI registry since January 2007. The organization holds 5 active CLIA laboratory certificates and lists Ruth J Faircloth, Accounts Receviable Manager, as its authorized official.

NPPES Registry Identity

NPI1215080809
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFLAGLER FAMILY MEDICINE P A
Location Address130 HEALTH PARK BLVDSt Augustine, FL 32086-5776
Mailing Address130 Health Park BlvdSt Augustine, FL 32086-5776 · (904) 826-3469 · Fax (904) 808-4608
Phone(904) 826-3469
Fax(904) 808-4608
Organization SubpartNo
Authorized OfficialRuth J FairclothAccounts Receviable Manager · (904) 826-3469
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 23, 2008
✔ NPI 1215080809 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.
130 HEALTH PARK BLVD, St Augustine, FL 32086
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Other Identifiers 3

Medicare PIN21203FL
Medicaid252488100FL
OtherCD6611FL · Palmetto Gba Railroad Med

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 and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 10D2301991

Flagler Family Medicine PA · Saint Augustine, FL
Active · expires Apr 2, 2028
CLIA Number10D2301991
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorMichael J. Look
Laboratory Phone(904) 826-3469
Laboratory LocationFlagler Family Medicine PA6277 South Unit 101 And 102, 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 10D2298583

Flagler Family Medicine PA · Saint Augustine, FL
Active · expires Feb 4, 2028
CLIA Number10D2298583
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorMichael J. Look
Laboratory Phone(904) 826-3469
Laboratory LocationFlagler Family Medicine PA105 South Park Blvd Suite 302C, 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.

Certificate of Waiver 10D2093987

Flagler Family Medicine · Palm Coast, FL
Active · expires Apr 7, 2027
CLIA Number10D2093987
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorMichael Look
Laboratory Phone(904) 826-3469
Laboratory LocationFlagler Family Medicine33 Old Kings Rd North Suite 3, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1096294

Flagler Family Medicine PA · Saint Augustine, FL
Active · expires Mar 2, 2027
CLIA Number10D1096294
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorMichael Look
Laboratory Phone(904) 826-3469
Laboratory LocationFlagler Family Medicine PA130 Health Park Blvd, 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.

Certificate of Waiver 10D2014955

Flagler Family Medicine PA · Saint Augustine, FL
Active · expires Oct 18, 2026
CLIA Number10D2014955
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorMichael Look
Laboratory Phone(904) 826-3469
Laboratory LocationFlagler Family Medicine PA315 W Town Pl Unit 1, Saint Augustine, FL 32092
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 16

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

JOANN FRITSCH
Nurse Practitioner
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
LAUREN MICHELLE LIPTHROTT APRN
Nurse Practitioner (Family)
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
DR. FREDERICK C DOLGIN M.D.
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
DR. LINDSEY JAMES M.D.
Hospitalist
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
KAREN STOVER ARNP
Nurse Practitioner (Family)
130 HEALTH PARK BLVD
ST. AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
BROOKS MICHAEL WHALEN PA
Physician Assistant
130 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
DR. RANDALL SCOTT ANSELMO MD
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3469
DR. LINDA SUE CLONCH M.D.
Family Medicine
130 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-3469

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 Flagler Family Medicine P A's NPI number?

The NPI number for Flagler Family Medicine P A is 1215080809. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Flagler Family Medicine P A located?

Flagler Family Medicine P A is located at 130 Health Park Blvd, St Augustine, FL 32086. The listed phone number is (904) 826-3469.

What is Flagler Family Medicine P A's specialty?

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

Does Flagler Family Medicine P A hold CLIA laboratory certificates?

Yes. 5 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 Flagler Family Medicine P A accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Flagler Family Medicine P A 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 Flagler Family Medicine P A was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.