Organization Active NPI

D S Miles D P M P a

  • Podiatrist
  • Palatka, FL
National Provider Identifier
1760677744
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2627 Issued in FL
Legal business name
D S MILES D P M P A
Practice address
205 Zeagler Dr Ste 201
Palatka, FL 32177-3860
Phone
(386) 328-7228
Fax
(386) 328-3351
NPI assigned
Sep 12, 2007
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Dr. Dawn Shepherd Miles, DPMNPI 1013972413
Title
Doctor
Phone
(386) 328-7228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 practice location 1

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

Other names 1

  • Dawn S. Miles DPM PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930041177 FL DME Supplier - Physician - Podiatry 6305957143 Practice locations: Palatka, FL
O20101217000196 FL Part B Supplier - Clinic/Group Practice 6305957143 Receives reassigned benefits from 2 practitioners
Practice locations: Palatka, FL; St Augustine, FL

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1760677744",
    "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": [
        {
            "address_1": "236 Southpark Cir E",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865137",
            "country_code": "US",
            "telephone_number": "904-808-9950",
            "fax_number": "386-328-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "D S MILES D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "SHEPHERD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "386-328-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn S. Miles DPM PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dawn S. Miles DPM PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.