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CHILDREN'S MEDICAL CENTER
NPI 1629162722
Clinic/Center - Rural Health in Glen St Mary, FL

Active since October 03, 2006
6704 E MOUNT VERNON ST, GLEN ST MARY, FL 32040(904) 259-7420(904) 259-8366 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Children's Medical Center NPPES

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

CHILDREN'S MEDICAL CENTER (NPI 1629162722) is a healthcare organization registered as a rural health in Glen St Mary, Florida and active in the NPI registry since October 2006. The organization lists Andres R Villar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629162722
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameANDRES R. VILLAR MD
Location Address6704 E MOUNT VERNON STGlen St Mary, FL 32040-5050
Mailing AddressPo Box 606Glen St Mary, FL 32040-0606 · (904) 653-1818 · Fax (904) 653-1814
Phone(904) 259-7420
Fax(904) 259-8366
Organization SubpartNo
Authorized OfficialAndres R VillarAdministrator · (386) 755-5044
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1629162722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
6704 E MOUNT VERNON ST, Glen St Mary, FL 32040
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Other Names 1

Doing Business AsChildren's Medical Center

Other Identifiers 1

Other660151100FL · Medicaid Rural Health Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Children's Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20041008000325Part A · Rural Health ClinicDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

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

ANDRES R VILLAR MD
Pediatrics
6704 E MOUNT VERNON ST
GLEN ST MARY, FL 32040
Baker County (904) 259-7420
RACHAEL BETROS APRN
Nurse Practitioner (Family)
6704 E MOUNT VERNON ST
GLEN ST MARY, FL 32040
Baker County (904) 259-7420

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 Andres R. Villar MD's NPI number?

The NPI number for Andres R. Villar MD is 1629162722. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Children's Medical Center.

Where is Andres R. Villar MD located?

Andres R. Villar MD is located at 6704 E Mount Vernon St, Glen St Mary, FL 32040. The listed phone number is (904) 259-7420.

What is Andres R. Villar MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Andres R. Villar MD enrolled in Medicare?

Yes. Andres R. Villar MD is registered in the Medicare PECOS enrollment system.

When is Andres R. Villar MD's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Rural Health Clinic) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Andres R. Villar MD accept?

Health plans from Ambetter Health and Ambetter of Alabama list Andres R. Villar MD 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 Andres R. Villar MD was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.