Individual provider Active NPI

Gary S McCoy, DPM

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1245200039
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1996 Issued in FL
Practice address
3771 San Jose PL Ste 26
Jacksonville, FL 32257-2439
Phone
(904) 262-7087
Fax
(904) 262-7215
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1996 FL Primary

Addresses

Primary practice location

3771 San Jose PL Ste 26
Jacksonville, FL 32257-2439

Mailing address

3771 San Jose PL Ste 26
Jacksonville, FL 32257-2439
Phone (904) 262-7087

Other identifiers 3

IdentifierTypeStateIssuer
59-3516897OtherFLTAX ID
040679100MedicaidFL
480030592OtherFLRAILROAD MEDICARE

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
I20100729000228 FL Practitioner - Podiatry 5799818605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3771 San Jose PL
Suite 26
Jacksonville, FL 32257-2439
Phone (904) 262-7087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue463
Removal or shaving of skin growth240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Gary S McCoy DPM PA CurrentSince May 25, 2010 Accepting new patients

Locations

9765 San Jose Blvd
Ste 104
Jacksonville, FL 32257
Phone (904) 262-7087

9765 San Jose Blvd
Ste 107
Jacksonville, FL 32257
Phone (904) 262-7087

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1245200039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 SAN JOSE PL STE 26",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572439",
            "telephone_number": "904-262-7087",
            "fax_number": "904-262-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 SAN JOSE PL STE 26",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572439",
            "telephone_number": "904-262-7087",
            "fax_number": "904-262-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59-3516897",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040679100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480030592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.