Active NPI
Medone, PLLC
Doing business as MedOne at Saint Augustine
- Urgent Care Clinic/Center
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDONE, PLLC
- Doing business as
- MedOne at Saint Augustine
- Practice address
- 841 S Ponce de Leon Blvd Ste 4&5
Saint Augustine, FL 32084-6007 - Phone
- (352) 694-6331
- Fax
- (352) 694-6338
- NPI assigned
- Apr 5, 2018
- Last updated
- Aug 12, 2026
- Organization subpart
- Yes
- Parent organization
- MEDONE, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Burnham
- Title
- Admin
- Phone
- (352) 694-6331
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
841 S Ponce de Leon Blvd Ste 4&5
Saint Augustine, FL 32084-6007
Mailing address
841 S Ponce de Leon Blvd Ste 4
St Augustine, FL 32084-6008
Phone (904) 907-2229
Other practice location 1
6160 SW Highway 200 Unit 119
Ocala, FL 34476-8307
Phone (352) 694-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME74255 | Other | FL | MEDICAL LICENSE |
Other names 1
- MedOne at Saint Augustine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Medone PLLC
- Part of
- Medone PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Ocala, FL
- NPI 1154692531
Locations
841 S Ponce de Leon Blvd
Ste 45
Saint Augustine, FL 32084
Phone (352) 694-6331
841 S Ponce de Leon Blvd
St Augustine, FL 32084
841 S Ponce de Leon Blvd
Ste 4
St Augustine, FL 32084
Phone (904) 907-2228
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Urgent Care Clinic/Center
- Ocala, FL
- NPI 1154692531
Practitioners & affiliated clinicians
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.
-
- Physician Assistant
- Ocala, FL
- NPI 1750034104
-
- Family Nurse Practitioner
- Ocala, FL
- NPI 1952294654
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1659301109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1942706130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 S PONCE DE LEON BLVD STE 4",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320846008",
"telephone_number": "904-907-2229",
"fax_number": "904-342-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 S PONCE DE LEON BLVD STE 4&5",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320846007",
"telephone_number": "352-694-6331",
"fax_number": "352-694-6338"
}
],
"practiceLocations": [
{
"address_1": "6160 SW Highway 200 Unit 119",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344768307",
"country_code": "US",
"telephone_number": "352-694-6331",
"fax_number": "352-694-6338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEDONE, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDONE, PLLC",
"enumeration_date": "2018-04-05",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "BURNHAM",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "352-694-6331"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME74255",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MedOne at Saint Augustine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MedOne at Saint Augustine",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 12, 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.