Organization Active NPI

St. Augustine Direct Primary Care, LLC

  • Primary Care Clinic/Center
  • St Augustine, FL
National Provider Identifier
1316807175
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ST. AUGUSTINE DIRECT PRIMARY CARE, LLC
Practice address
2200 N Ponce de Leon Blvd Ste 1
St Augustine, FL 32084-2650
Phone
(904) 657-5736
Fax
(904) 877-5276
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Ms. Margaret E. Corrigan, APRNNPI 1326327578
Title
Owner, Aprn
Phone
(904) 962-7815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2200 N Ponce de Leon Blvd Ste 1
St Augustine, FL 32084-2650

Mailing address

2200 N Ponce de Leon Blvd Ste 1
St Augustine, FL 32084-2650
Phone (904) 657-5736

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2327236St Augustine Direct Primary Care LLC2200 N Ponce de Leon Blvd Suite1, Saint Augustine, FL 32084Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Locations

2200 N Ponce de Leon Blvd
Ste 1
St Augustine, FL 32084
Phone (904) 819-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1316807175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842650",
            "telephone_number": "904-657-5736",
            "fax_number": "904-877-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N PONCE DE LEON BLVD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842650",
            "telephone_number": "904-657-5736",
            "fax_number": "904-877-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AUGUSTINE DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER, APRN",
        "authorized_official_telephone_number": "904-962-7815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.