NPIMap

Organization Active NPI

FM Medical Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
National Provider Identifier
1053790246
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME117337 Issued in FL
Legal business name
FM MEDICAL URGENT CARE, INC.
Practice address
3560 A1A South
St Augustine, FL 32080
Phone
(904) 548-2273
Fax
(904) 429-9783
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Scott Robert Michaels, MDNPI 1760514921
Title
Owner
Phone
(904) 434-8196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ME117337 FL Primary

Addresses

Primary practice location

3560 A1A South
St Augustine, FL 32080

Mailing address

3560 A1A S
St Augustine, FL 32080-9731
Phone (904) 548-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151215002512 FL Part B Supplier - Clinic/Group Practice 0143521294 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Augustine, FL

National Provider Directory

National Provider Directory

Locations

3560 A1A S
Ste 1
St Augustine, FL 32080
Phone (904) 529-0141

3560 A1A S
St Augustine, FL 32080
Phone 9045290141104

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1053790246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320809731",
            "telephone_number": "904-548-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 A1A SOUTH",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-548-2273",
            "fax_number": "904-429-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM MEDICAL URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-434-8196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME117337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.