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DPM HAIRSTON 01 FL LLC
NPI 1508988015
Podiatrist - Foot & Ankle Surgery in Brooksville, FL

Active since April 04, 2007
12900 CORTEZ BLVD STE 102, BROOKSVILLE, FL 34613(352) 683-6618(352) 683-5722 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dpm Hairston 01 Fl Llc NPPES

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

DPM HAIRSTON 01 FL LLC (NPI 1508988015) is a healthcare organization registered as a foot & ankle surgery in Brooksville, Florida and active in the NPI registry since April 2007. The organization lists Earlie Owens Hairston, Owner, as its authorized official.

NPPES Registry Identity

NPI1508988015
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDPM HAIRSTON 01 FL LLC
Location Address12900 CORTEZ BLVD STE 102Brooksville, FL 34613-6897
Mailing Address12900 Cortez Blvd Ste 102Brooksville, FL 34613-6897 · (352) 683-6618 · Fax (352) 683-5722
Phone(352) 683-6618
Fax(352) 683-5722
Organization SubpartNo
Authorized OfficialEarlie Owens HairstonOwner · (352) 683-6618
Enumeration DateApril 4, 2007
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1508988015 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 · K7562
12900 CORTEZ BLVD STE 102, Brooksville, FL 34613
Open in Google Maps ↗

Other Identifiers 1

Medicaid340486200FL

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 Ambetter Health, Ambetter of Alabama.Insurance ›

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)

Dpm Hairston 01 Fl Llc 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 IDO20100930031838DME · Physician - PodiatryDue 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 DPM Hairston 01 Fl LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Earlie Hairston, D.P.M.
Podiatry
NPI 1205832854
12900 CORTEZ BLVD STE 102
Brooksville, FL 34613
(352) 683-6618
✔ PECOSSame 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 Dpm Hairston 01 Fl LLC's NPI number?

The NPI number for Dpm Hairston 01 Fl LLC is 1508988015. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Dpm Hairston 01 Fl LLC located?

Dpm Hairston 01 Fl LLC is located at 12900 Cortez Blvd Ste 102, Brooksville, FL 34613. The listed phone number is (352) 683-6618.

What is Dpm Hairston 01 Fl LLC's specialty?

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

Is Dpm Hairston 01 Fl LLC enrolled in Medicare?

Yes. Dpm Hairston 01 Fl LLC is registered in the Medicare PECOS enrollment system.

When is Dpm Hairston 01 Fl LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) 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 Dpm Hairston 01 Fl LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dpm Hairston 01 Fl LLC. 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.

What insurance does Dpm Hairston 01 Fl LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Dpm Hairston 01 Fl LLC 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 Dpm Hairston 01 Fl LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.