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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DUDLEY ALAN SHAW P.A
NPI 1598768210
Physician Assistant - Medical in Palm Coast, FL

Active since May 27, 2005PECOS Enrolled
6 OFFICE PARK DR, PALM COAST, FL 32137(386) 447-6615 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dudley Alan Shaw P.a NPPES

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

MR. DUDLEY ALAN SHAW P.A (NPI 1598768210) is an individual medical provider in Palm Coast, Florida, licensed in Florida (PA2468) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598768210
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DUDLEY ALAN SHAWCredential: P.A
Location Address6 OFFICE PARK DRPalm Coast, FL 32137-3808
Mailing Address2312 S Daytona AveFlagler Beach, FL 32136-4031
Phone(386) 447-6615
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1598768210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA2468
6 OFFICE PARK DR, Palm Coast, FL 32137
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dudley Alan Shaw P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDIQUICK URGENT CARE CENTERS INC
Clinic/Center (Urgent Care)
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615
STEPHEN J PLAYE MD
Emergency Medicine (Emergency Medical Services)
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615
MR. DAVID BUTLER P.A-C
Physician Assistant (Medical)
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615
MICHAEL ALAN ISICOFF MD
Legal Medicine
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615
MICHAEL GUNTER M.D.
Internal Medicine
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615
CHARLES MORROW P.A.
Physician Assistant (Medical)
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615
RAYMOND SANTIAGO P.A.-C
Physician Assistant (Medical)
6 OFFICE PARK DR
PALM COAST, FL 32137
Flagler County (386) 447-6615

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 Dudley Shaw's NPI number?

The NPI number for Dudley Shaw is 1598768210. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Dudley Shaw located?

Dudley Shaw practices at 6 Office Park Dr, Palm Coast, FL 32137. The listed phone number is (386) 447-6615.

What is Dudley Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dudley Shaw enrolled in Medicare?

Yes. Dudley Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dudley Shaw was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.