Individual provider Active NPI

Robert W Olds Jr., MD

  • Psychiatry Physician
  • St Augustine, FL
National Provider Identifier
1164573663
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME35901 Issued in FL
Practice address
301 Health Park Blvd Ste 326
St Augustine, FL 32086-5771
Phone
(904) 819-5155
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME35901 FL Primary

Addresses

Primary practice location

301 Health Park Blvd Ste 326
St Augustine, FL 32086-5771

Mailing address

PO Box 3123
Saint Augustine, FL 32085-3123

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
I20100804001142 FL Practitioner - Psychiatry 5597898015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

301 Health Park Blvd
Suite 326
Saint Augustine, FL 32086-5771
Phone (904) 834-9647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME35901FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Hospital Inc CurrentSince Nov 15, 2015 Accepting new patients
Robert W Olds MD PA Psychiatry CurrentSince May 10, 2000 Accepting new patients
Flagler Hospital CurrentSince Nov 15, 2015 Accepting new patients
North Florida Specialists in Lung Diseases & Internal Medicine PA CurrentSince Jul 7, 2005 Accepting new patients

Locations

301 Health Park Blvd
Ste 326
St Augustine, FL 32086
Phone (904) 819-5155

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

201 Health Park Blvd
Ste 212
St Augustine, FL 32086
Phone (904) 819-4040

Interoperability endpoints

  • Direct secure messaging: jolds743611@direct.shands.ufl.edu

Organizations & group practices 4

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1164573663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 326",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-819-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDS",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME35901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.