Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mainland Physicians Group LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1003419763

Mainland Physicians Group LLC is a Geriatric Medicine (Family Medicine) Physician in St Augustine, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Arricola Ave
St Augustine, FL 32080-4515
Phone: (904) 825-4368
Fax: (904) 825-9107
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1003419763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Paul Shaddock — Director Of Network Managment · (850) 341-6322
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address100 Arricola Ave, St Augustine, FL 32080-4515