Individual Healthcare Provider
Russell W Nelligan, MD
Provider's NPPES record last updated: June 19, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255542767
- Primary Specialty
- Ophthalmology
- Practice Location
- St Augustine, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Ophthalmology
Allopathic & Osteopathic Physicians
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Taxonomy code 207W00000X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Ophthalmology (Texas)
- N5906
Practice Locations
Practice Location
1400 US Highway 1 S
St Augustine, Florida 32084-4211
Phone: (904) 829-2286
Additional Practice Location
10 Florida Park Dr Ste A
Palm Coast, Florida 32137-3893
Phone: (386) 445-1279
Additional Practice Location
800 Zeagler Dr Ste 120
Palatka, Florida 32177-3827
Phone: (386) 328-8369
Additional Practice Location
319 W Town Pl Ste 8
St Augustine, Florida 32092-3102
Phone: (904) 940-9200
Record Information
- Enumeration Date
- May 25, 2007
- Provider's NPPES Record Last Updated
- June 19, 2026
- Certification Date
- June 19, 2026
- NPISignal NPPES Dataset
- August 2026
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