Individual provider Active NPI

John C Augustus Jr.

  • Non-emergency Medical Transport (VAN)
  • Saint Augustine, FL
National Provider Identifier
1275347262
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
L19000285187 Issued in FL
Practice address
1155 S Brevard St
Saint Augustine, FL 32084-0939
Phone
(904) 204-7369
NPI assigned
Feb 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X L19000285187 FL Primary

Addresses

Primary practice location

1155 S Brevard St
Saint Augustine, FL 32084-0939

Mailing address

1155 S Brevard St
Saint Augustine, FL 32084-0939
Phone (904) 204-7369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L19000285187FLMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1275347262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S BREVARD ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320840939",
            "telephone_number": "904-204-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S BREVARD ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320840939",
            "telephone_number": "904-204-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTUS",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "L19000285187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.