Individual provider Active NPI

Cally Baker Dawber

  • Family Medicine Physician
  • Port Orange, FL
National Provider Identifier
1982392635
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11026060 Issued in FL
Practice address
1201 Harbour Point Dr
Port Orange, FL 32127-5607
Phone
(407) 902-5062
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11026060 FL Primary

Addresses

Primary practice location

1201 Harbour Point Dr
Port Orange, FL 32127-5607

Mailing address

1201 Harbour Point Dr
Port Orange, FL 32127-5607
Phone (407) 902-5062

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030002180 FL Practitioner - Nurse Practitioner 6305292228 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11026060FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis & Klancke Cardiology PA Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Clermont Medical Center PA Single Specialty CurrentSince Jul 13, 2023 Accepting new patients

Locations

1135 Lake Ave
Clermont, FL 34711
Phone (352) 394-3195

695 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 258-8722

780 Dunlawton Ave
Ste 101
Port Orange, FL 32127
Phone (386) 265-5926

Organizations & group practices 2

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": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1982392635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HARBOUR POINT DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275607",
            "telephone_number": "407-902-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HARBOUR POINT DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275607",
            "telephone_number": "407-902-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWBER",
        "first_name": "CALLY",
        "middle_name": "BAKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11026060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.