NPIMap

Organization Active NPI

Flagler Professional Health Care Services, Inc.

Doing business as Flagler Health Primary Care

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1023672573
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Doing business as
Flagler Health Primary Care
Practice address
120 Palencia Village Dr Ste 107
St Augustine, FL 32095-8553
Phone
(904) 819-3200
Fax
(904) 819-3201
NPI assigned
Apr 30, 2019
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Franks
Title
Delegated Official
Phone
(904) 819-4065

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

120 Palencia Village Dr Ste 107
St Augustine, FL 32095-8553

Mailing address

PO Box 3266
St Augustine, FL 32085-3266
Phone (904) 819-4602

Other practice location 1

70 Turin Ter Ste 100
St Augustine, FL 32092-0849
Phone (904) 819-3000

Other practice location 2

201 Health Park Blvd Ste 215
St Augustine, FL 32086-5797
Phone (904) 824-3777

Other practice location 3

486 Town Plaza Ave Ste 440
Ponte Vedra, FL 32081-5142
Phone (904) 819-4242

Other practice location 4

33 Old Kings Rd N Ste 3
Palm Coast, FL 32137-8238
Phone (386) 445-1100

Other practice location 5

351 Town Plaza Avenue
105 A
Ponte Vedra, FL 32081
Phone (904) 819-3233

Other practice location 6

351 Town Plaza Avenue
103
Ponte Vedra, FL 32081
Phone (904) 819-3233

Other practice location 7

351 Town Plaza Avenue
Suite 105A
Ponte Vedra, FL 32081
Phone (904) 819-3233

Other names 1

  • Flagler Health Primary Care Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

351 Town Plaza Ave
#105A
Ponte Vedra, FL 32081
Phone (904) 819-3233

351 Town Plaza Ave
Ste 105
Ponte Vedra, FL 32081
Phone (904) 819-3233

120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200

270 Plaza Blvd
Ste B5B6
Saint Augustine, FL 32086
Phone (904) 819-5150

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1023672573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3266",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853266",
            "telephone_number": "904-819-4602",
            "fax_number": "904-819-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PALENCIA VILLAGE DR STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958553",
            "telephone_number": "904-819-3200",
            "fax_number": "904-819-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Turin Ter Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320920849",
            "country_code": "US",
            "telephone_number": "904-819-3000",
            "fax_number": "904-819-3201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Health Park Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865797",
            "country_code": "US",
            "telephone_number": "904-824-3777",
            "fax_number": "904-824-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "486 Town Plaza Ave Ste 440",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320815142",
            "country_code": "US",
            "telephone_number": "904-819-4242",
            "fax_number": "904-819-4243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Old Kings Rd N Ste 3",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378238",
            "country_code": "US",
            "telephone_number": "386-445-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Town Plaza Avenue",
            "address_2": "105 A",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "32081",
            "country_code": "US",
            "telephone_number": "904-819-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Town Plaza Avenue",
            "address_2": "103",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "32081",
            "country_code": "US",
            "telephone_number": "904-819-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Town Plaza Avenue",
            "address_2": "Suite 105A",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "32081",
            "country_code": "US",
            "telephone_number": "904-819-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "904-819-4065"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flagler Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.