ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC
NPI 1801568431
Podiatrist - Foot & Ankle Surgery in Saint Augustine, FL
About St. Johns Podiatry & Wound Care Specialists Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JOHNS PODIATRY & WOUND CARE SPECIALISTS LLC (NPI 1801568431) is a healthcare organization registered as a foot & ankle surgery in Saint Augustine, Florida and active in the NPI registry since October 2021. The organization lists Daniel A Black, Owner Of Tin/practice, 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. Johns Podiatry & Wound Care Specialists Llc 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 St. Johns Podiatry & Wound Care Specialists LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Saint Augustine, FL 32092
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 St. Johns Podiatry & Wound Care Specialists LLC's NPI number?
The NPI number for St. Johns Podiatry & Wound Care Specialists LLC is 1801568431. It was assigned to this organization in the NPPES registry on October 1, 2021.
Where is St. Johns Podiatry & Wound Care Specialists LLC located?
St. Johns Podiatry & Wound Care Specialists LLC is located at 113 Nature Walk Pwky Ste. 105, Saint Augustine, FL 32092. The listed phone number is (315) 382-5910.
What is St. Johns Podiatry & Wound Care Specialists LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is St. Johns Podiatry & Wound Care Specialists LLC enrolled in Medicare?
Yes. St. Johns Podiatry & Wound Care Specialists LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Johns Podiatry & Wound Care Specialists LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to St. Johns Podiatry & Wound Care Specialists LLC. 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 St. Johns Podiatry & Wound Care Specialists LLC was last updated on October 1, 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.
# St. Johns Podiatry & Wound Care Specialists Llc · NPI 1801568431
Foot & Ankle Surgery organization in Saint Augustine, Florida. Organization record, active in the CMS NPPES registry since October 1, 2021.
## Identity
- **NPI:** 1801568431 (Entity type: Organization)
- **Enumerated:** October 1, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Daniel Black, OWNER OF TIN/PRACTICE
## Practice location
- **Address:** 113 NATURE WALK PWKY, STE. 105, Saint Augustine, FL 32092
- **Phone:** (315) 382-5910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1801568431) · Data from the CMS NPPES public registry.