NPIMap

Individual provider Active NPI

Brian D Raymaker, MD

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1184696221
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100738 Issued in FL
Practice address
105 Mariner Health Way Ste 203
St Augustine, FL 32086-3251
Phone
(904) 342-2989
Fax
(904) 824-6243
NPI assigned
Feb 3, 2006
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
Family Medicine Physician 207Q00000X ME100738 FL Primary

Addresses

Primary practice location

105 Mariner Health Way Ste 203
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

  • Flagler Home Care LLC Home health agency, Saint Augustine, FL, CCN 108211
  • Community Home Health Care Home health agency, St Augustine, FL, CCN 107159
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Concierge Home Care Home health agency, St. Augustine, FL, CCN 687130
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

National Provider Directory

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

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

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

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

Interoperability endpoints

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

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 and National Provider Directory roles.

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": "1781568000000",
    "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": "105 MARINER HEALTH WAY STE 203",
            "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",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "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.