Individual provider Active NPI

Margret Thorhallsdottir, M.D.

  • Family Medicine Physician
  • Saint Augustine, FL
National Provider Identifier
1124298831
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME109067 Issued in FL
Practice address
6573 A1A S
Saint Augustine, FL 32080-7504
Phone
(904) 342-7363
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME109067 FL Primary

Addresses

Primary practice location

6573 A1A S
Saint Augustine, FL 32080-7504

Mailing address

6573 A1A S
Saint Augustine, FL 32080-7504
Phone (904) 342-7363

Other identifiers 1

IdentifierTypeStateIssuer
003762800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110810000550 FL Practitioner - Family Practice 3375677420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Beach Care, LLCGroup PAC ID 5991945289, 5 clinicians

Practice addresses (Care Compare)

6573 A1A
St Augustine, FL 32080-7504
Phone (904) 342-7363

Hospital & facility affiliations

  • Community Home Health Care Home health agency, St Augustine, FL, CCN 107159
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Beach Care LLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Access Urgent Care LLC PastSince May 1, 2013 Accepting new patients

Locations

975 S Ponce de Leon Blvd
St Augustine, FL 32084
Phone (352) 694-6331

6573 A1A S
St Augustine, FL 32080
Phone (904) 325-5322

Interoperability endpoints

  • Direct secure messaging: drlong@crescentbeachcare.kareodirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1124298831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6573 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807504",
            "telephone_number": "904-342-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6573 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807504",
            "telephone_number": "904-342-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORHALLSDOTTIR",
        "first_name": "MARGRET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME109067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003762800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.