Atlantic Urological Associates P a

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ATLANTIC UROLOGICAL ASSOCIATES P A

Practice address

2460 Old Moultrie Rd
Suite 5
St Augustine, FL 32086-4197

Phone

(904) 794-7870

NPI assigned

May 1, 2007

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerri Creggar

Title

Chief Operating Officer

Phone

(386) 239-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1053532572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-239-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD",
            "address_2": "SUITE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864197",
            "telephone_number": "904-794-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC UROLOGICAL ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CREGGAR",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "386-239-8500"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Ashley, PA-C
• Associates in Internal Medicine PA
• Sarah Asturia, DMD
• Bryona Atkins
• Atlantic Eye Institute P.a.
• Atlas Physical Therapy & Sports Medicine Inc
• Kelly Auclair, APRN
• Augustine Health Inc
• Lindsey Rahner Augustine
• John C Augustus Jr.

• Urology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.