ST. AUGUSTINE DIRECT PRIMARY CARE, LLC
NPI 1316807175
Clinic/Center - Primary Care in St Augustine, FL

Active since November 14, 2025CLIA 10D2327236 · Waiver
2200 N PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL 32084(904) 657-5736(904) 877-5276 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Augustine Direct Primary Care, Llc NPPES

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

ST. AUGUSTINE DIRECT PRIMARY CARE, LLC (NPI 1316807175) is a healthcare organization registered as a primary care in St Augustine, Florida and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Margaret E. Corrigan, Owner, Aprn, as its authorized official.

NPPES Registry Identity

NPI1316807175
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST. AUGUSTINE DIRECT PRIMARY CARE, LLC
Location Address2200 N PONCE DE LEON BLVD STE 1St Augustine, FL 32084-2650
Mailing Address2200 N Ponce De Leon Blvd Ste 1St Augustine, FL 32084-2650 · (904) 657-5736 · Fax (904) 877-5276
Fax(904) 877-5276
Organization SubpartNo
Authorized OfficialMargaret E. CorriganOwner, Aprn · (904) 962-7815
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1316807175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2200 N PONCE DE LEON BLVD STE 1, St Augustine, FL 32084

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 10D2327236

St Augustine Direct Primary Care LLC · Saint Augustine, FL
Active · expires Jul 17, 2027
CLIA Number10D2327236
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorMargaret E. Corrigan
Laboratory Phone(904) 962-7815
Laboratory LocationSt Augustine Direct Primary Care LLC2200 N Ponce De Leon Blvd Suite1, Saint Augustine, FL 32084
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

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

Nurse Practitioner
2200 N PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084

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 Direct Primary Care, LLC's NPI number?

The NPI number for St. Augustine Direct Primary Care, LLC is 1316807175. It was assigned to this organization in the NPPES registry on November 14, 2025.

Where is St. Augustine Direct Primary Care, LLC located?

St. Augustine Direct Primary Care, LLC is located at 2200 N Ponce De Leon Blvd Ste 1, St Augustine, FL 32084. The listed phone number is (904) 657-5736.

What is St. Augustine Direct Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does St. Augustine Direct Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327236) is associated with this NPI, valid through July 17, 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 Direct Primary Care, LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.