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SAINT AUGUSTINE VA CLINIC
NPI 1922041003
Clinic/Center - VA in Saint Augustine, FL

Active since June 14, 2006
100 DEERFIELD PRESERVE BLVD, SAINT AUGUSTINE, FL 32086(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2023, May 26, 2021, Jul 17, 2020 and 1 more (4 updates tracked since 2017).

About Saint Augustine Va Clinic NPPES

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

SAINT AUGUSTINE VA CLINIC (NPI 1922041003) is a healthcare organization registered as a va in Saint Augustine, Florida and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1922041003
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address100 DEERFIELD PRESERVE BLVDSaint Augustine, FL 32086-5966
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Phone(866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 28, 20234 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1922041003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
100 DEERFIELD PRESERVE BLVD, Saint Augustine, FL 32086
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Other Names 1

Other NameSaint Augustine Va Clinic

Other Providers at the Same Location NPPES 16

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

ABIGAIL CARTLEDGE RDN
Dietitian, Registered
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
MRS. SUSAN MICHELLE RUDAY MSN, RN
Registered Nurse (Home Health)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
DUSTIN BLEND LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
MARIA CIRILLO LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
BRITTANY COLE OT
Occupational Therapist
100 DEERFIELD PRESERVE BLVD
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 829-0814
WESLEY PAUL CONWAY
Social Worker
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (516) 254-2954
EMILY PERRY LCSW
Social Worker (Clinical)
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-2896
MR. JORGE L CORDOVA - RUIZ M.D
General Practice
100 DEERFIELD PRESERVE BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 829-0814

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 Gainesville Vamc's NPI number?

The NPI number for Gainesville Vamc is 1922041003. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is also known as Saint Augustine VA Clinic.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 100 Deerfield Preserve Blvd, Saint Augustine, FL 32086. The listed phone number is (866) 793-4591.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Gainesville Vamc was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.