St Augustine Primary Care P L
NPI 1760654370 · Family Medicine Physician · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Augustine Primary Care P L is a Family Medicine Physician organization in St Augustine, FL (NPI 1760654370).
Provider details
- NPI number
- 1760654370
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Raymaker, Owner(904) 342-2989
- License
- 40261 (FL)
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
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)
- 105 Mariner Health Way Ste 203St Augustine, FL 32086-3251Phone: (904) 342-2989Fax: (904) 824-6243
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Frequently asked questions
- What is St Augustine Primary Care P L's NPI number?
- St Augustine Primary Care P L's National Provider Identifier (NPI) is 1760654370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Augustine Primary Care P L?
- St Augustine Primary Care P L is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St Augustine Primary Care P L located?
- St Augustine Primary Care P L's practice location on file with NPPES is 811 State Road 206 E Ste 3, St Augustine, FL 32086-4869.
- What is St Augustine Primary Care P L's phone number?
- The practice phone number listed in the NPPES registry for St Augustine Primary Care P L is (904) 342-2989.
- Does St Augustine Primary Care P L accept Medicare?
- St Augustine Primary Care P L 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 St Augustine Primary Care P L?
- The authorized official listed on St Augustine Primary Care P L's NPPES record is Brian Raymaker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Augustine Primary Care P L's NPI active?
- Yes — St Augustine Primary Care P L's NPI (1760654370) is active in the NPPES registry as of the last update on 2024-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.