St Augustine Primary Care P L

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40261 Issued in FL

Legal business name

ST AUGUSTINE PRIMARY CARE P L

Practice address

811 State Road 206 E Ste 3
St Augustine, FL 32086-4869

Phone

(904) 342-2989

Fax

(904) 824-6243

NPI assigned

Mar 24, 2008

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian D Raymaker, MDNPI 1184696221

Title

Owner

Phone

(904) 342-2989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24698/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian D Raymaker, MD

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1184696221
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Lynn Lopez, APRN

  • Nurse Practitioner
  • St Augustine, FL
  • NPI 1750103362

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Judith Lynn Nichols, APRN

  • Nurse Practitioner
  • St Augustine, FL
  • NPI 1255311528
  Medicare reassignment

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1760654370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-342-2989",
            "fax_number": "904-826-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 STATE ROAD 206 E STE 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864869",
            "telephone_number": "904-342-2989",
            "fax_number": "904-824-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE PRIMARY CARE P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "RAYMAKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-342-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "40261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Augustine Neurology PA
• St Augustine Oral & Facial Surgical Center PA
• St Augustine Physical Medicine
• St Augustine Physicians Associates Inc (Monahan Chiropractic)
• St Augustine Physicians Associates Inc. (Monahan Chiropractic)
• St Augustine Senior Living LLC (Tranquil Oaks Assisted Living)
• St Augustine Specialty Healthcare, Inc. (SASH Clinic)
• St Augustine Youth Services
• St Johns Biomedical Laboratories Inc
• St Johns Cardiovascular PA

• Family Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.