Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ralph David Priddy, PA-C

Individual provider Physician Assistant · NPI 1497021059

Mr. Ralph David Priddy, PA-C is a Physician Assistant in St Augustine, Florida. Qualified in 2012, 14 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2305 State Road 207
St Augustine, FL 32086-9329
Phone: (904) 827-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106486 (FL)

Record details

NPI number1497021059
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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