Coastal Foot & Ankle Wellness Center LLC
NPI 1972834760 · Foot & Ankle Surgery Podiatrist · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Foot & Ankle Wellness Center LLC is a Foot & Ankle Surgery Podiatrist organization in St Augustine, FL (NPI 1972834760).
Provider details
- NPI number
- 1972834760
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Richard Johnson, Owner(904) 826-1900
- License
- P02829 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2020-12-27
- Certified
- 2020-12-27
Frequently asked questions
- What is Coastal Foot & Ankle Wellness Center LLC's NPI number?
- Coastal Foot & Ankle Wellness Center LLC's National Provider Identifier (NPI) is 1972834760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Foot & Ankle Wellness Center LLC?
- Coastal Foot & Ankle Wellness Center LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Coastal Foot & Ankle Wellness Center LLC located?
- Coastal Foot & Ankle Wellness Center LLC's practice location on file with NPPES is 1740 Tree Blvd Ste 112, St Augustine, FL 32084-5720.
- What is Coastal Foot & Ankle Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Foot & Ankle Wellness Center LLC is (904) 826-1900.
- Does Coastal Foot & Ankle Wellness Center LLC accept Medicare?
- Coastal Foot & Ankle Wellness Center 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 Coastal Foot & Ankle Wellness Center LLC?
- The authorized official listed on Coastal Foot & Ankle Wellness Center LLC's NPPES record is Richard Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Foot & Ankle Wellness Center LLC's NPI active?
- Yes — Coastal Foot & Ankle Wellness Center LLC's NPI (1972834760) is active in the NPPES registry as of the last update on 2020-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.