NPIMap

Individual provider Active NPI

Brian D Raymaker, MD

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1184696221
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100738 Issued in FL
Practice address
811 Sr 206 East
Suite 3
St Augustine, FL 32086-3251
Phone
(904) 342-2989
Fax
(904) 824-6243
NPI assigned
Feb 3, 2006
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 ME100738 FL Primary

Addresses

Primary practice location

811 Sr 206 East
Suite 3
St Augustine, FL 32086-3251

Mailing address

PO Box 3123
St Augustine, FL 32085-3123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000100 FL Practitioner - Family Practice 2668445776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Augustine Primary Care P LGroup PAC ID 6800960592, 2 clinicians

Practice addresses (Care Compare)

811 State Rd 206
Suite 3
St Augustine, FL 32086-4869
Phone (904) 342-2989

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100738FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Augustine Primary Care P L Family Medicine CurrentSince Aug 1, 2008 Accepting new patients

Locations

811 State Road 206 E
Ste 3
Saint Augustine, FL 32086
Phone (904) 342-2989

105 Mariner Health Way
Ste 203
St Augustine, FL 32086
Phone (904) 342-2989

110 Health Park Blvd
St Augustine, FL 32086
Phone (904) 823-3401

Interoperability endpoints

  • Direct secure messaging: brian.raymaker.1@24698.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24698/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

Hospital & facility affiliations 9

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1184696221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SR 206 EAST",
            "address_2": "SUITE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-342-2989",
            "fax_number": "904-824-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMAKER",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.