Russell W Nelligan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

N5906 Issued in TX

Practice address

1400 US Highway 1 S
St Augustine, FL 32084-4211

Phone

(904) 829-2286

Fax

(904) 810-5687

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of Florida College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center of St Augustine PAGroup PAC ID 2668431040, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.4 of 100Reported as group

Quality

89.52

Improvement activities

40

Cost

55.31

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rnelligan743642@direct.shands.ufl.edu
• Direct secure messaging: rnelligan@especsa.intellechartdirect.net

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.

• Eye Center of St Augustine PA

  • Specialist
  • St Augustine, FL
  • NPI 1275535726
  Medicare reassignment Care Compare group NPD
• Eye Surgery Center of Saint Augustine Inc

  • Ambulatory Surgical Clinic/Center
  • St Augustine, FL
  • NPI 1750383295
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1255542767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-810-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-810-5687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Florida Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373893",
            "country_code": "US",
            "telephone_number": "386-445-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Zeagler Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321773827",
            "country_code": "US",
            "telephone_number": "386-328-8369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 W Town Pl Ste 8",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320923102",
            "country_code": "US",
            "telephone_number": "904-940-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELLIGAN",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N5906",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07877",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laila Benzakour Needham, MD
• Suhas P Neerukonda, MD
• Emanuela Negrescu, DMD
• Matt T Neibaur, MD
• Amanda Vanessa Neira
• Diamond Ann Nelson
• Joanna Nelson, MPH
• Marcia M Nemecek, DMD
• Nathan Nemecek, DMD
• Elizabeth Nerney

• Ophthalmology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.