Individual provider Active NPI

Omari Owens, DPM

  • Podiatrist
  • St Augustine, FL
National Provider Identifier
1154908937
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4602 Issued in FL
Practice address
6 Saint Johns Medical Park Dr
St Augustine, FL 32086-5298
Phone
(904) 823-3301
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Podiatrist 213E00000X PO4602 FL Primary

Addresses

Primary practice location

6 Saint Johns Medical Park Dr
St Augustine, FL 32086-5298

Mailing address

6 Saint Johns Medical Park Dr
St Augustine, FL 32086-5298
Phone (904) 823-3301

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820002113 FL Practitioner - Podiatry 0749728871 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Foot Care and Wellness Clinic, LLCGroup PAC ID 3870892805, 13 clinicians

Practice addresses (Care Compare)

1215 Dunn Ave
Suite 3
Jacksonville, FL 32218-4897
Phone (904) 323-0954

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue77
Removal or shaving of skin growth38
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Leg Center PA CurrentSince Oct 23, 2025 Accepting new patients
Family Foot and Leg Center PA Podiatrist CurrentSince Oct 23, 2025 Accepting new patients
Total Foot Care and Wellness Clinic, LLC Podiatrist CurrentSince Feb 1, 2026 Accepting new patients
All About Feet & Legs, PA Podiatrist CurrentSince Dec 9, 2024 Accepting new patients
Clay County Podiatry Associates PA Podiatrist PastSince Feb 1, 2026 Accepting new patients

Locations

8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954

8613 Old Kings Rd S
Ste 301
Jacksonville, FL 32217
Phone (904) 323-0954

1215 Dunn Ave
Ste 3
Jacksonville, FL 32218
Phone (904) 323-0954

430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885

730 Goodlette Rd
Ste 102
Naples, FL 34102
Phone (231) 343-2027

12250 Tamiami Trl E
Ste 101
Naples, FL 34113
Phone (239) 417-2256

6 Saint Johns Medical Park Dr
#D
Saint Augustine, FL 32086

3110 Fruitville Commons Blvd
Unit 102
Sarasota, FL 34240

6 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-2401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9455/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD
  • Direct secure messaging: oowens747946@direct.shands.ufl.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1154908937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865298",
            "telephone_number": "904-823-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865298",
            "telephone_number": "904-823-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "OMARI",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.