Individual provider Active NPI

Margaret Jordan Hewitt

  • Physician Assistant
  • Ormond Beach, FL
National Provider Identifier
1295671865
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9121876 Issued in FL
Practice address
400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone
(386) 677-9044
NPI assigned
Apr 27, 2026
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9121876 FL Primary

Addresses

Primary practice location

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157

Mailing address

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157

Other practice location 1

37 Old Kings Rd N
Palm Coast, FL 32137-8227
Phone (386) 225-4607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9121876FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Dermatology Center LLC CurrentSince Oct 14, 2019 Accepting new patients

Locations

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 677-9044

37 Old Kings Rd N
Palm Coast, FL 32137
Phone (386) 225-4607

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1295671865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKEBRIDGE PLAZA DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKEBRIDGE PLAZA DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745157",
            "telephone_number": "386-677-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Old Kings Rd N",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378227",
            "country_code": "US",
            "telephone_number": "386-225-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "MARGARET",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9121876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.