ST. AUGUSTINE FOOT & ANKLE, INC
NPI 1235916123
Internal Medicine - Rheumatology in St Augustine, FL
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Augustine Foot & Ankle, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to St. Augustine Foot & Ankle, Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Orange Park, FL 32065
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLFrequently 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.
Is St. Augustine Foot & Ankle, Inc enrolled in Medicare?
Yes. St. Augustine Foot & Ankle, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Augustine Foot & Ankle, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to St. Augustine Foot & Ankle, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 3 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.
# St. Augustine Foot & Ankle, Inc · NPI 1235916123
Rheumatology organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since September 13, 2023.
## Identity
- **NPI:** 1235916123 (Entity type: Organization)
- **Enumerated:** September 13, 2023
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **Also known as:** St Augustine Rheumatology Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mia Connor, MANAGER
## Practice location
- **Address:** 1 SAINT JOHNS MEDICAL PARK DR, St Augustine, FL 32086-5300
- **Phone:** (904) 824-0869
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235916123) · Data from the CMS NPPES public registry.