SAINT JOHNS PLASTIC SURGERY PLLC
NPI 1770427171
Plastic Surgery in Saint Augustine, FL

Q: What is Saint Johns Plastic Surgery PLLC's NPI number?

The NPI number for Saint Johns Plastic Surgery PLLC is 1770427171. It was assigned to this organization in the NPPES registry on April 16, 2026.

Q: What is Saint Johns Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since April 16, 2026

304 ASHOURIAN AVE STE 107, SAINT AUGUSTINE, FL 32092(281) 630-1127 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2026, Apr 16, 2026 (2 updates tracked since 2026).

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About Saint Johns Plastic Surgery Pllc NPPES

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

SAINT JOHNS PLASTIC SURGERY PLLC (NPI 1770427171) is a healthcare organization registered as a plastic surgery in Saint Augustine, Florida and active in the NPI registry since April 2026. The organization lists Matthew Brett Mitchell, Member/plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1770427171

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameSAINT JOHNS PLASTIC SURGERY PLLC

Location Address304 ASHOURIAN AVE STE 107Saint Augustine, FL 32092-5110

Mailing Address304 Ashourian Ave Ste 107Saint Augustine, FL 32092-5110 · (281) 630-1127

Phone(281) 630-1127

Organization SubpartNo

Authorized OfficialMatthew Brett MitchellMember/plastic Surgeon · (904) 657-4103

Enumeration DateApril 16, 2026

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 2026

✔ NPI 1770427171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

304 ASHOURIAN AVE STE 107, Saint Augustine, FL 32092

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saint Johns Plastic Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Saint Johns Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Mitchell, MD

Plastic and Reconstructive Surgery

NPI 1164955761

304 ASHOURIAN AVE STE 107
Saint Augustine, FL 32092

(904) 657-4103

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Saint Johns Plastic Surgery PLLC's NPI number?

The NPI number for Saint Johns Plastic Surgery PLLC is 1770427171. It was assigned to this organization in the NPPES registry on April 16, 2026.

Where is Saint Johns Plastic Surgery PLLC located?

Saint Johns Plastic Surgery PLLC is located at 304 Ashourian Ave Ste 107, Saint Augustine, FL 32092. The listed phone number is (281) 630-1127.

What is Saint Johns Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Saint Johns Plastic Surgery PLLC enrolled in Medicare?

Yes. Saint Johns Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saint Johns Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Saint Johns Plastic Surgery PLLC. 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.

When was this NPI record last updated?

The NPPES record for Saint Johns Plastic Surgery PLLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.