Kawa Direct Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KAWA DIRECT PRIMARY CARE, LLC

Doing business as

Golden Pearl Primary Care

Practice address

45 Summerlin LN Ste 107
St Augustine, FL 32095-8160

Phone

(904) 817-0067

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 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

Robert Kawa, DONPI 1750794616

Title

Owner/Medical Director

Phone

(843) 446-9712

Specialties & licenses 1

Addresses

Other names 1

• Golden Pearl Primary Care Doing business as

Locations

Practitioners 1

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.

• Robert Kawa, D.O.

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1750794616
  NPD (past) Authorized official

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1962316315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SUMMERLIN LN STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958160",
            "telephone_number": "904-817-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SUMMERLIN LN STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958160",
            "telephone_number": "904-817-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWA DIRECT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "KAWA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-446-9712",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Pearl Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kassandra McCune Enterprises, Inc
• Fawaz Katmeh, MD
• Divleen Kaur, PA-C
• Eleni Kauttu, OTR/L
• Therese Mariam Kavtaradze
• Robert Kawa, D.O.
• Andrew Kawamleh
• KBS Walter Group LLC (dba St Augustine Center for Living)
• Birendra KC, MD
• Heather Ann Keane

• 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 Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.