Individual provider Active NPI

Dawn Shepherd Miles, DPM

  • Podiatrist
  • Palatka, FL
National Provider Identifier
1013972413
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2627 Issued in FL
Practice address
205 Zeagler Dr Ste 201
Palatka, FL 32177-3860
Phone
(386) 328-7228
Fax
(386) 328-3351
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2627 FL Primary

Addresses

Primary practice location

205 Zeagler Dr Ste 201
Palatka, FL 32177-3860

Mailing address

PO Box 368
East Palatka, FL 32131-0368
Phone (386) 328-7228

Other identifiers 1

IdentifierTypeStateIssuer
390361300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000023 FL Practitioner - Podiatry 6305977752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D S Miles D P M P aGroup PAC ID 6305957143, 2 clinicians

Practice addresses (Care Compare)

205 Zeagler Dr
Suite 201
Palatka, FL 32177-3860
Phone (386) 328-7228

236 Southpark Cir E
St Augustine, FL 32086-5137
Phone (904) 808-9950

Hospital & facility affiliations

  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal49
Melanoma (skin cancer) excision1-10
Removal of tissue169
Removal of skin lesions46
Removal of nail tissue272
Removal or shaving of skin growth100
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2627FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D S Miles D P M P a Podiatrist CurrentSince Aug 1, 1998 Accepting new patients
Superior Podiatry, LLC Podiatrist Past Accepting new patients

Locations

320 Zeagler Dr
Ste B
Palatka, FL 32177
Phone (386) 328-7228

205 Zeagler Dr
Ste 201
Palatka, FL 32177
Phone (386) 328-7228

220 Southpark Cir E
St Augustine, FL 32086
Phone (904) 808-9950

236 Southpark Cir E
St Augustine, FL 32086
Phone (904) 429-4736

Interoperability endpoints

  • Direct secure messaging: dmiles743528@direct.shands.ufl.edu
  • Direct secure messaging: dawn.miles@dsmdp-fl.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/18420/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1013972413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321310368",
            "telephone_number": "386-328-7228",
            "fax_number": "386-328-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR STE 201",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773860",
            "telephone_number": "386-328-7228",
            "fax_number": "386-328-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "DAWN",
        "middle_name": "SHEPHERD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390361300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.