ST. AUGUSTINE DIALYSIS
NPI 1962768242
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Augustine, FL

Q: What is Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1962768242. It was assigned to this organization in the NPPES registry on April 11, 2012. The provider is doing business as St. Augustine Dialysis.

Q: What is Total Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since April 11, 2012CLIA 10D0904325 · Waiver

264 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086(904) 808-0445(904) 808-0446 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Dec 21, 2022, Oct 27, 2022 and 2 more (5 updates tracked since 2019).

On this page

About St. Augustine Dialysis NPPES

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

ST. AUGUSTINE DIALYSIS (NPI 1962768242) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Saint Augustine, Florida and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1962768242

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE INC

Location Address264 SOUTHPARK CIR ESaint Augustine, FL 32086-5137

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(904) 808-0445

Fax(904) 808-0446

Organization SubpartNo

Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641

Enumeration DateApril 11, 2012

Last NPPES UpdateApril 18, 20245 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1962768242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

264 SOUTHPARK CIR E, Saint Augustine, FL 32086

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Other Names 1

Doing Business AsSt. Augustine Dialysis

Other Identifiers 1

Medicaid007297200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

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 10D0904325

St Augustine Dialysis · Saint Augustine, FL

Active · expires Aug 15, 2027

CLIA Number10D0904325

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 16, 2025

Certificate Expiration DateAugust 15, 2027

Laboratory DirectorAmir A. Malik

Laboratory Phone(904) 808-0445

Laboratory LocationSt Augustine Dialysis264 South Park Circle East, Saint Augustine, FL 32086

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ST. AUGUSTINE ARTIFICIAL KIDNEY CENTER, LTD.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

264 SOUTHPARK CIR E
ST AUGUSTINE, FL 32086

St. Johns County (904) 808-0445

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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1962768242. It was assigned to this organization in the NPPES registry on April 11, 2012. The provider is doing business as St. Augustine Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 264 Southpark Cir E, Saint Augustine, FL 32086. The listed phone number is (904) 808-0445.

What is Total Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0904325) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 9 other insurers list Total Renal Care Inc 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 Total Renal Care Inc was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.