ST. AUGUSTINE FOOT & ANKLE, INC
NPI 1235916123
Internal Medicine - Rheumatology in St Augustine, FL

Active since September 13, 2023CLIA 10D2232845 · Certificate of Compliance
1 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086(904) 824-0869 Get Directions Write a Review

NPPES record last updated: September 30, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About St. Augustine Foot & Ankle, Inc NPPES

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

ST. AUGUSTINE FOOT & ANKLE, INC (NPI 1235916123), doing business as St Augustine Rheumatology Center, is a healthcare organization registered as a rheumatology in St Augustine, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Certificate of Compliance certificate valid through December 14, 2027 and lists Mia Connor, Manager, as its authorized official.

NPPES Registry Identity

NPI1235916123
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameST. AUGUSTINE FOOT & ANKLE, INC
Location Address1 SAINT JOHNS MEDICAL PARK DRSt Augustine, FL 32086-5300
Mailing Address1 Saint Johns Medical Park DrSt Augustine, FL 32086-5300 · (904) 824-0869
Organization SubpartNo
Authorized OfficialMia ConnorManager · (904) 824-0869
Enumeration DateSeptember 13, 2023
Last NPPES UpdateSeptember 30, 2023
NPPES CertifiedSeptember 30, 2023
NPI 1235916123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1 SAINT JOHNS MEDICAL PARK DR, St Augustine, FL 32086

Other Names 1

Doing Business AsSt Augustine Rheumatology Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Compliance 10D2232845

St Augustine Foot & Ankle Inc · St Augustine, FL
Active · expires Dec 14, 2027
CLIA Number10D2232845
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorThomas A. Lebeau
Laboratory Phone(904) 824-0869
Laboratory LocationSt Augustine Foot & Ankle Inc1 Saint Johns Medical Park Dr, St Augustine, FL 32086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

Internal Medicine (Rheumatology)
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
Podiatrist
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
Specialist
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
Podiatrist (Foot & Ankle Surgery)
1 SAINT JOHNS MEDICAL PARK DR
ST 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 St. Augustine Foot & Ankle, Inc's NPI number?

The NPI number for St. Augustine Foot & Ankle, Inc is 1235916123. It was assigned to this organization in the NPPES registry on September 13, 2023. The provider is doing business as St Augustine Rheumatology Center.

Where is St. Augustine Foot & Ankle, Inc located?

St. Augustine Foot & Ankle, Inc is located at 1 Saint Johns Medical Park Dr, St Augustine, FL 32086. The listed phone number is (904) 824-0869.

What is St. Augustine Foot & Ankle, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Does St. Augustine Foot & Ankle, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2232845) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Augustine Foot & Ankle, Inc was last updated on September 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.