Individual provider Active NPI

Daniel Stoughton Dickinson IV, MD

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1700057585
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME116080 Issued in FL
Practice address
1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-3001
Phone
(352) 265-0301
NPI assigned
Mar 19, 2008
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME116080 FL Primary
Emergency Medicine Physician 207P00000X 2025-00876 NC

Addresses

Primary practice location

1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-3001

Mailing address

2445 SW 76TH St
Gainesville, FL 32608-0350
Phone (352) 872-5111

Other identifiers 1

IdentifierTypeStateIssuer
018756500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090223000004 NY Practitioner - Emergency MedicinePractitioner - Plastic and Reconstructive Surgery 4183789308 Reassigns benefits to 1 organization
I20140501001166 FL Practitioner - Emergency Medicine 4183789308 Reassigns benefits to 3 organizations
I20260108002740 NC Practitioner - Emergency Medicine 4183789308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2445 Sw76Th St
Suite 110
Gainesville, FL 32608-0350
Phone (325) 872-5111

4221 Tuckaseegee Rd
Charlotte, NC 28208-2801
Phone (704) 395-0060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116080FLMDEmergency Medicine Physician
2025-00876NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ucm Digital Ipa, Inc. CurrentSince Dec 18, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
American Current Care of North Carolina, P.C. CurrentSince Nov 25, 2025 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Jan 15, 2015 Accepting new patients
Emergency Physicians Medical Center LLC CurrentSince May 1, 2019 Accepting new patients
Santa Rosa HB Medical Services LLC CurrentSince Sep 17, 2024 Accepting new patients
Emergency Physicians Medical Center, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Santa Rosa HB Medical Services LLC Emergency Medicine CurrentSince Sep 17, 2024 Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients
Island Medical House Doctor PC PastSince Feb 5, 2009 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

2445 SW 76th St
Ste 110
Gainesville, FL 32608
Phone (325) 872-5111

9181 NW 39th Ave
Gainesville, FL 32606
Phone (352) 872-5111

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

216 River St
Ste 3
Troy, NY 12180
Phone (844) 484-7362

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: ddickinson@direct.wtbyhosp.org

Organizations & group practices 10

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1700057585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SW 76TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080350",
            "telephone_number": "352-872-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "DANIEL",
        "middle_name": "STOUGHTON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME116080",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2025-00876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018756500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.