What is Mainland Physicians Group LLC's NPI number?

Mainland Physicians Group LLC's National Provider Identifier (NPI) is 1003419763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Mainland Physicians Group LLC?

Mainland Physicians Group LLC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).

Where is Mainland Physicians Group LLC located?

Mainland Physicians Group LLC's practice location on file with NPPES is 100 Arricola Ave, St Augustine, FL 32080-4515.

What is Mainland Physicians Group LLC's phone number?

The practice phone number listed in the NPPES registry for Mainland Physicians Group LLC is (904) 825-4368.

Who is the authorized official for Mainland Physicians Group LLC?

The authorized official listed on Mainland Physicians Group LLC's NPPES record is John Paul Shaddock, Director of Network Managment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Mainland Physicians Group LLC's NPI active?

Yes — Mainland Physicians Group LLC's NPI (1003419763) is active in the NPPES registry as of the last update on 2020-11-17.

OrganizationActive

Mainland Physicians Group LLC

NPI 1003419763 · Geriatric Medicine (Family Medicine) Physician · St Augustine, FL

Mainland Physicians Group LLC is a Geriatric Medicine (Family Medicine) Physician organization in St Augustine, FL (NPI 1003419763).

Provider details

NPI number: 1003419763
Entity type: Organization
Primary specialty: Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: John Paul Shaddock, Director of Network Managment(850) 341-6322

Practice location

100 Arricola Ave

St Augustine, FL 32080-4515

Phone: (904) 825-4368

Fax: (904) 825-9107

Street-level locationGet directions

More FL providers

Mailing address

100 Arricola Ave

St Augustine, FL 32080-4515

Specialties & taxonomies

Geriatric Medicine (Family Medicine) PhysicianPrimary207QG0300X
Allopathic & Osteopathic Physicians

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2020-11-17
Last updated: 2020-11-17
Certified: 2020-11-17

Frequently asked questions

What is Mainland Physicians Group LLC's NPI number?: Mainland Physicians Group LLC's National Provider Identifier (NPI) is 1003419763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Mainland Physicians Group LLC?: Mainland Physicians Group LLC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
Where is Mainland Physicians Group LLC located?: Mainland Physicians Group LLC's practice location on file with NPPES is 100 Arricola Ave, St Augustine, FL 32080-4515.
What is Mainland Physicians Group LLC's phone number?: The practice phone number listed in the NPPES registry for Mainland Physicians Group LLC is (904) 825-4368.
Who is the authorized official for Mainland Physicians Group LLC?: The authorized official listed on Mainland Physicians Group LLC's NPPES record is John Paul Shaddock, Director of Network Managment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Mainland Physicians Group LLC's NPI active?: Yes — Mainland Physicians Group LLC's NPI (1003419763) is active in the NPPES registry as of the last update on 2020-11-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions