Active NPI
Lina Fouad, MD
- Gynecology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME120560
- Practice address
- 111 Nature Walk Pkwy Unit 107
St Augustine, FL 32092-3065 - Phone
- (904) 800-7613
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT198292 | PA | |
| Gynecology Physician | 207VG0400X | ME120560 | FL | Primary |
Addresses
Primary practice location
111 Nature Walk Pkwy Unit 107
St Augustine, FL 32092-3065
Mailing address
111 Nature Walk Pkwy Unit 107
St Augustine, FL 32092-3065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003181653A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT198292 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| OBGYN Specialists of North Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
13241 Bartram Park Blvd
Unit 809
Jacksonville, FL 32258
Phone (904) 723-4827
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
111 Nature Walk Pkwy
Unit 107
St Augustine, FL 32092
Phone (904) 800-7613
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1962223610
-
- Obstetrics & Gynecology Physician
- Jacksonville, FL
- NPI 1477713741
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751587200000",
"number": "1285944462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NATURE WALK PKWY UNIT 107",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NATURE WALK PKWY UNIT 107",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923065",
"telephone_number": "904-800-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUAD",
"first_name": "LINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2025-07-04",
"certification_date": "2025-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT198292",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME120560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003181653A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Sheryl Lynn Forster, CRNA
- Dianalynne E Fortin, LMT
- Kellie Jean Fortner, A.R.N.P.
- Jerome Fosaaen, RD, LD/N
- Catalina Foster
- Foundations Pediatrics Assessment and Treatment Center
- Foundations Pediatrics Assessment and Treatment Center
- Danielle Fountain, LMT, NCTMB, MMP
- Jacob Tyler Fouts, PT
- Margaret Fowee, MSW, LCSW, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.