Individual provider Active NPI

Evelyn M Cloud, DPM

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1902860281
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1367 Issued in FL
Practice address
8211 Mar del Plata St E
Jacksonville, FL 32256-7349
Phone
(904) 388-4561
Fax
(904) 620-9748
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1367 FL Primary

Addresses

Primary practice location

8211 Mar del Plata St E
Jacksonville, FL 32256-7349

Mailing address

8211 Mar del Plata St E
Jacksonville, FL 32256-7349
Phone (904) 388-4561

Other identifiers 2

IdentifierTypeStateIssuer
480001452OtherFLMEDICARE RAILROAD
041331300MedicaidFL

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
I20111117000654 FL Practitioner - Podiatry 0547434094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1367FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Evelyn M Cloud P.a. Podiatrist CurrentSince Sep 17, 1981 Accepting new patients

Locations

583 NE Highway 351
Cross City, FL 32628
Phone (352) 498-2005

301 S Bay St
Eustis, FL 32726
Phone (352) 357-7767

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

6517 NW 39th Ave
Gainesville, FL 32606
Phone (321) 725-6131

1750 Stockton St
Jacksonville, FL 32204
Phone (904) 308-4700

11565 Harts Rd
Jacksonville, FL 32218
Phone (904) 571-1834

730 College St
Jacksonville, FL 32204
Phone (904) 358-6711

5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160

6535 Chester Ave
Jacksonville, FL 32217
Phone (904) 264-3014

11411 Armsdale Rd
Jacksonville, FL 32218
Phone (904) 333-9287

6605 Chester Ave
Jacksonville, FL 32217
Phone (904) 636-0142

9355 San Jose Blvd
Jacksonville, FL 32257
Phone (904) 738-0877

587 SE Ermine Ave
Lake City, FL 32025
Phone (386) 438-2776

300 Brookfield Ave
Mount Dora, FL 32757
Phone (352) 383-0051

1215 Kingsley Ave
Orange Park, FL 32073
Phone (904) 269-8922

25 State Road 13 N
St Johns, FL 32259
Phone (904) 265-8209

602 Laura St
Starke, FL 32091
Phone (732) 497-1150

1550 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 264-9939

7280 SW State Road 26
Trenton, FL 32693
Phone (352) 257-3566

606 NE 7th St
Trenton, FL 32693
Phone (352) 463-7101

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1902860281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 MAR DEL PLATA ST E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567349",
            "telephone_number": "904-388-4561",
            "fax_number": "904-620-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 MAR DEL PLATA ST E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567349",
            "telephone_number": "904-388-4561",
            "fax_number": "904-620-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "EVELYN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480001452",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041331300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.