NORTH FLORIDA FOOT CLINIC PLLC
NPI 1467034652
Podiatrist - Foot & Ankle Surgery in Palatka, FL
About North Florida Foot Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH FLORIDA FOOT CLINIC PLLC (NPI 1467034652) is a healthcare organization registered as a foot & ankle surgery in Palatka, Florida and active in the NPI registry since April 2021. The organization lists Scott Richard Jason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Florida Foot Clinic Pllc 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 North Florida Foot Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 North Florida Foot Clinic PLLC's NPI number?
The NPI number for North Florida Foot Clinic PLLC is 1467034652. It was assigned to this organization in the NPPES registry on April 27, 2021.
Where is North Florida Foot Clinic PLLC located?
North Florida Foot Clinic PLLC is located at 3600 Crill Ave, Palatka, FL 32177. The listed phone number is (386) 325-7541.
What is North Florida Foot Clinic PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is North Florida Foot Clinic PLLC enrolled in Medicare?
Yes. North Florida Foot Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Florida Foot Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to North Florida Foot Clinic PLLC. 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 North Florida Foot Clinic PLLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# North Florida Foot Clinic Pllc · NPI 1467034652
Foot & Ankle Surgery organization in Palatka, Florida. Organization record, active in the CMS NPPES registry since April 27, 2021.
## Identity
- **NPI:** 1467034652 (Entity type: Organization)
- **Enumerated:** April 27, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Scott Jason, OWNER
## Practice location
- **Address:** 3600 CRILL AVE, Palatka, FL 32177-8112
- **Phone:** (386) 325-7541 · **Fax:** (386) 325-7204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467034652) · Data from the CMS NPPES public registry.