Ancient City Pediatrics
NPI 1053598292 · Pediatrics Physician · Saint Augustine, FL
Ancient City Pediatrics is a Pediatrics Physician organization in Saint Augustine, FL (NPI 1053598292).
Provider details
- NPI number
- 1053598292
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrienne Mccoy, Office Manager(904) 461-1560
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dba Sunshine Pediatrics of St Augustine
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2025-09-02
- Certified
- 2024-10-23
Frequently asked questions
- What is Ancient City Pediatrics's NPI number?
- Ancient City Pediatrics's National Provider Identifier (NPI) is 1053598292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ancient City Pediatrics?
- Ancient City Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Ancient City Pediatrics located?
- Ancient City Pediatrics's practice location on file with NPPES is 1301 Plantation Island Dr S Ste 104, Saint Augustine, FL 32080-3108.
- What is Ancient City Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Ancient City Pediatrics is (904) 461-1560.
- Who is the authorized official for Ancient City Pediatrics?
- The authorized official listed on Ancient City Pediatrics's NPPES record is Adrienne Mccoy, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ancient City Pediatrics's NPI active?
- Yes — Ancient City Pediatrics's NPI (1053598292) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.