1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Podiatrist
  6. NPI Profile

ABC FEET INC
NPI 1114487311
Podiatrist - Foot & Ankle Surgery in Jacksonville, FL

Active since March 22, 2019
1126 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211(904) 765-5554(904) 765-9302 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2020, Jun 15, 2020, Jan 24, 2020 and 1 more (4 updates tracked since 2019).

About Abc Feet Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABC FEET INC (NPI 1114487311) is a healthcare organization registered as a foot & ankle surgery in Jacksonville, Florida and active in the NPI registry since March 2019. The organization lists Diandra K Gordon, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1114487311
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameABC FEET INC
Location Address1126 UNIVERSITY BLVD NJacksonville, FL 32211-8850
Mailing Address1629 Redstone CtSt Augustine, FL 32092-5028 · (904) 534-7061 · Fax (904) 224-2002
Phone(904) 765-5554
Fax(904) 765-9302
Organization SubpartNo
Authorized OfficialDiandra K GordonOwner/provider · (904) 534-7061
Enumeration DateMarch 22, 2019
Last NPPES UpdateSeptember 29, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1114487311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1126 UNIVERSITY BLVD N, Jacksonville, FL 32211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abc Feet Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20201002001871DME · Physician - General PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Abc Feet Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diandra Gordon, DPM
Podiatry
NPI 1548571060
1629 REDSTONE CT
St Augustine, FL 32092
(904) 534-7061
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abc Feet Inc's NPI number?

The NPI number for Abc Feet Inc is 1114487311. It was assigned to this organization in the NPPES registry on March 22, 2019.

Where is Abc Feet Inc located?

Abc Feet Inc is located at 1126 University Blvd N, Jacksonville, FL 32211. The listed phone number is (904) 765-5554.

What is Abc Feet Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Abc Feet Inc enrolled in Medicare?

Yes. Abc Feet Inc is registered in the Medicare PECOS enrollment system.

When is Abc Feet Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - General Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Abc Feet Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Abc Feet Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Abc Feet Inc was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.