ST AUGUSTINE PRIMARY CARE P L
NPI 1760654370
Family Medicine in St Augustine, FL
About St Augustine Primary Care P L NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST AUGUSTINE PRIMARY CARE P L (NPI 1760654370) is a healthcare organization registered as a family medicine in St Augustine, Florida and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Brian D Raymaker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Primary Care P L is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to St Augustine Primary Care P L, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Waiver 10D2162058
St Augustine Primary Care Pl · 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 Primary Care P L's NPI number?
The NPI number for St Augustine Primary Care P L is 1760654370. It was assigned to this organization in the NPPES registry on March 24, 2008.
Where is St Augustine Primary Care P L located?
St Augustine Primary Care P L is located at 811 State Road 206 E Ste 3, St Augustine, FL 32086. The listed phone number is (904) 342-2989.
What is St Augustine Primary Care P L's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is St Augustine Primary Care P L enrolled in Medicare?
Yes. St Augustine Primary Care P L is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Augustine Primary Care P L?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to St Augustine Primary Care P L, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Augustine Primary Care P L hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2162058) is associated with this NPI, valid through February 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 Primary Care P L was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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 Primary Care P L · NPI 1760654370
Family Medicine organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since March 24, 2008.
## Identity
- **NPI:** 1760654370 (Entity type: Organization)
- **Enumerated:** March 24, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brian Raymaker, OWNER
## Practice location
- **Address:** 811 STATE ROAD 206 E STE 3, St Augustine, FL 32086-4869
- **Phone:** (904) 342-2989 · **Fax:** (904) 824-6243
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760654370) · Data from the CMS NPPES public registry.