Gerald R Woodard DO PA
NPI 1114111440 · Family Medicine Physician · Daytona Beach Shores, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gerald R Woodard DO PA is a Family Medicine Physician organization in Daytona Beach Shores, FL (NPI 1114111440).
Provider details
- NPI number
- 1114111440
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerald Woodard, President(386) 767-9544
- License
- OS4717 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shores Medical Center
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2007-08-29
Frequently asked questions
- What is Gerald R Woodard DO PA's NPI number?
- Gerald R Woodard DO PA's National Provider Identifier (NPI) is 1114111440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gerald R Woodard DO PA?
- Gerald R Woodard DO PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gerald R Woodard DO PA located?
- Gerald R Woodard DO PA's practice location on file with NPPES is 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639.
- What is Gerald R Woodard DO PA's phone number?
- The practice phone number listed in the NPPES registry for Gerald R Woodard DO PA is (386) 767-9544.
- Does Gerald R Woodard DO PA accept Medicare?
- Gerald R Woodard DO PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gerald R Woodard DO PA?
- The authorized official listed on Gerald R Woodard DO PA's NPPES record is Gerald Woodard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gerald R Woodard DO PA's NPI active?
- Yes — Gerald R Woodard DO PA's NPI (1114111440) is active in the NPPES registry as of the last update on 2007-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.