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SHANNON FLOYD DPM PA
NPI 1174845622
Podiatrist - Foot & Ankle Surgery in Lady Lake, FL

Active since February 25, 2010
11834 COUNTY ROAD 101, SUITE 203, LADY LAKE, FL 32162(352) 633-8230(352) 633-8232 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Floyd Dpm Pa NPPES

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

SHANNON FLOYD DPM PA (NPI 1174845622) is a healthcare organization registered as a foot & ankle surgery in Lady Lake, Florida and active in the NPI registry since February 2010. The organization lists Shannon Floyd, President, as its authorized official.

NPPES Registry Identity

NPI1174845622
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHANNON FLOYD DPM PA
Location Address11834 COUNTY ROAD 101, SUITE 203Lady Lake, FL 32162-9340
Mailing Address4900 Sw 46th Ct Apt 2108Ocala, FL 34474-6287 · (917) 207-3328
Phone(352) 633-8230
Fax(352) 633-8232
Organization SubpartNo
Authorized OfficialShannon FloydPresident · (917) 207-3328
Enumeration DateFebruary 25, 2010
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1174845622 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
License✔ Licensed in FL · PO3406
11834 COUNTY ROAD 101, Lady Lake, FL 32162
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Floyd Dpm Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shannon Floyd DPM PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Shannon Floyd, DPM
Podiatry
NPI 1235463001
11834 COUNTY ROAD 101 SUITE 203
Lady Lake, FL 32162
(352) 633-8230
✔ PECOS✔ Accepts MedicareSame address
Samuel Mason, DPM
Podiatry
NPI 1801424288
11834 COUNTY ROAD 101 STE 203
Lady Lake, FL 32162
(352) 633-8230
✔ PECOS✔ Accepts MedicareSame address
Blanca Diaz, D.P.M.
Podiatry
NPI 1548498702
8554 PALM PKWY
Orlando, FL 32836
(917) 834-6874
✔ PECOS✔ Accepts Medicare49 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 Shannon Floyd Dpm PA's NPI number?

The NPI number for Shannon Floyd Dpm PA is 1174845622. It was assigned to this organization in the NPPES registry on February 25, 2010.

Where is Shannon Floyd Dpm PA located?

Shannon Floyd Dpm PA is located at 11834 County Road 101 Suite 203, Lady Lake, FL 32162. The listed phone number is (352) 633-8230.

What is Shannon Floyd Dpm PA's specialty?

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

Is Shannon Floyd Dpm PA enrolled in Medicare?

Yes. Shannon Floyd Dpm PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shannon Floyd Dpm PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Shannon Floyd Dpm PA. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shannon Floyd Dpm PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shannon Floyd Dpm PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Floyd Dpm PA was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.