Community Care Pediatrics PA
NPI 1639437569 · Primary Care Clinic/Center · Saint Augustine, FL
Community Care Pediatrics PA is a Primary Care Clinic/Center organization in Saint Augustine, FL (NPI 1639437569).
Provider details
- NPI number
- 1639437569
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Luis Anderson, Md/President/Owner(904) 479-9501
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 885 State Road 20Interlachen, FL 32148-2430Phone: (386) 643-0400Fax: (386) 350-0398
Registry dates
- Enumerated
- 2012-04-28
- Last updated
- 2020-02-14
- Certified
- 2020-02-14
Frequently asked questions
- What is Community Care Pediatrics PA's NPI number?
- Community Care Pediatrics PA's National Provider Identifier (NPI) is 1639437569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care Pediatrics PA?
- Community Care Pediatrics PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Community Care Pediatrics PA located?
- Community Care Pediatrics PA's practice location on file with NPPES is 3670 US 1 South Ste 300 B, Saint Augustine, FL 32086.
- What is Community Care Pediatrics PA's phone number?
- The practice phone number listed in the NPPES registry for Community Care Pediatrics PA is (904) 479-9501.
- Who is the authorized official for Community Care Pediatrics PA?
- The authorized official listed on Community Care Pediatrics PA's NPPES record is Luis Anderson, Md/President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care Pediatrics PA's NPI active?
- Yes — Community Care Pediatrics PA's NPI (1639437569) is active in the NPPES registry as of the last update on 2020-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.