Individual provider Active NPI

Julie Lynn Flick, M.D.

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1376510909
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101304 Issued in FL
Practice address
3740 International Golf Pkwy Ste 100
St Augustine, FL 32092-0665
Phone
(904) 671-8333
Fax
(833) 329-1494
NPI assigned
Mar 2, 2006
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 ME101304 FL Primary

Addresses

Primary practice location

3740 International Golf Pkwy Ste 100
St Augustine, FL 32092-0665

Mailing address

3740 International Golf Pkwy Ste 100
St Augustine, FL 32092-0665
Phone (904) 671-8333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228001245 FL Order and Referring Only - Family PracticePractitioner - Family Practice 6709776735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3373ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health LLC CurrentSince Sep 15, 2024 Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients

Locations

3740 International Golf Pkwy
#100
Saint Augustine, FL 32092
Phone (904) 547-8884

Interoperability endpoints

  • Direct secure messaging: julie.flick.1@14940.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1376510909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 INTERNATIONAL GOLF PKWY STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920665",
            "telephone_number": "904-671-8333",
            "fax_number": "833-329-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 INTERNATIONAL GOLF PKWY STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920665",
            "telephone_number": "904-671-8333",
            "fax_number": "833-329-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.