DUNNELLON PODIATRY CENTER P A
NPI 1194742148
Podiatrist in Dunnellon, FL

Q: What is Dunnellon Podiatry Center P A's NPI number?

The NPI number for Dunnellon Podiatry Center P A is 1194742148. It was assigned to this organization in the NPPES registry on July 16, 2006.

Q: What is Dunnellon Podiatry Center P A's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since July 16, 2006

11786 CEDAR STREET, DUNNELLON PODIATRY CENTER PA, DUNNELLON, FL 34431(352) 489-6621(352) 489-6920 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dunnellon Podiatry Center P A NPPES

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

DUNNELLON PODIATRY CENTER P A (NPI 1194742148) is a healthcare organization registered as a podiatrist in Dunnellon, Florida and active in the NPI registry since July 2006. The organization lists Stacy Lynn Witfill, Owner Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1194742148

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameDUNNELLON PODIATRY CENTER P A

Location Address11786 CEDAR STREET, DUNNELLON PODIATRY CENTER PADunnellon, FL 34431

Mailing AddressPo Box 2633, Dunnellon Podiatry Center PaDunnellon, FL 34430 · (352) 489-6621 · Fax (352) 489-6920

Phone(352) 489-6621

Fax(352) 489-6920

Organization SubpartNo

Authorized OfficialStacy Lynn WitfillOwner Podiatrist · (352) 489-6621

Enumeration DateJuly 16, 2006

Last NPPES UpdateDecember 12, 2007

✔ NPI 1194742148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in FL · P02759

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

11786 CEDAR STREET, Dunnellon, FL 34431

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Other Identifiers 4

Medicare UPINU75367

Medicare NSC4349910001FL

Other65619FL · Bcbs

Medicare ID-Type Unspecified65619FL

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dunnellon Podiatry Center P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dunnellon Podiatry Center P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stacy Witfill, DPM

Podiatry

NPI 1285815647

11786 CEDAR ST
Dunnellon, FL 34431

(352) 489-6621

✔ PECOS✔ Accepts MedicareSame address

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 Dunnellon Podiatry Center P A's NPI number?

The NPI number for Dunnellon Podiatry Center P A is 1194742148. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Dunnellon Podiatry Center P A located?

Dunnellon Podiatry Center P A is located at 11786 Cedar Street Dunnellon Podiatry Center PA, Dunnellon, FL 34431. The listed phone number is (352) 489-6621.

What is Dunnellon Podiatry Center P A's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Dunnellon Podiatry Center P A enrolled in Medicare?

Yes. Dunnellon Podiatry Center P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dunnellon Podiatry Center P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dunnellon Podiatry Center P A. 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 Dunnellon Podiatry Center P A was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.