Bayside Medical Practice of Vilano Beach LLC
NPI 1760168330 · Primary Care Clinic/Center · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bayside Medical Practice of Vilano Beach LLC is a Primary Care Clinic/Center organization in St Augustine, FL (NPI 1760168330).
Provider details
- NPI number
- 1760168330
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tammy Dye, President(305) 916-0183
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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)
- 240 San Marco AveSt Augustine, FL 32084-2729Phone: (904) 217-4550Fax: (904) 907-2113
Registry dates
- Enumerated
- 2023-06-27
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Frequently asked questions
- What is Bayside Medical Practice of Vilano Beach LLC's NPI number?
- Bayside Medical Practice of Vilano Beach LLC's National Provider Identifier (NPI) is 1760168330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Medical Practice of Vilano Beach LLC?
- Bayside Medical Practice of Vilano Beach LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bayside Medical Practice of Vilano Beach LLC located?
- Bayside Medical Practice of Vilano Beach LLC's practice location on file with NPPES is 101 Yacht Club Dr, St Augustine, FL 32084-2196.
- What is Bayside Medical Practice of Vilano Beach LLC's phone number?
- The practice phone number listed in the NPPES registry for Bayside Medical Practice of Vilano Beach LLC is (904) 217-4550.
- Does Bayside Medical Practice of Vilano Beach LLC accept Medicare?
- Bayside Medical Practice of Vilano Beach LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bayside Medical Practice of Vilano Beach LLC?
- The authorized official listed on Bayside Medical Practice of Vilano Beach LLC's NPPES record is Tammy Dye, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Medical Practice of Vilano Beach LLC's NPI active?
- Yes — Bayside Medical Practice of Vilano Beach LLC's NPI (1760168330) is active in the NPPES registry as of the last update on 2025-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.