Shannon Floyd DPM PA
NPI 1174845622 · Foot & Ankle Surgery Podiatrist · Lady Lake, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Floyd DPM PA is a Foot & Ankle Surgery Podiatrist organization in Lady Lake, FL (NPI 1174845622).
Provider details
- NPI number
- 1174845622
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Floyd, President(917) 207-3328
- License
- PO3406 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Registry dates
- Enumerated
- 2010-02-25
- Last updated
- 2013-02-20
Frequently asked questions
- What is Shannon Floyd DPM PA's NPI number?
- Shannon Floyd DPM PA's National Provider Identifier (NPI) is 1174845622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Floyd DPM PA?
- Shannon Floyd DPM PA is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Shannon Floyd DPM PA located?
- Shannon Floyd DPM PA's practice location on file with NPPES is 11834 County Road 101, Lady Lake, FL 32162-9340.
- What is Shannon Floyd DPM PA's phone number?
- The practice phone number listed in the NPPES registry for Shannon Floyd DPM PA is (352) 633-8230.
- Does Shannon Floyd DPM PA accept Medicare?
- Shannon Floyd DPM 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 Shannon Floyd DPM PA?
- The authorized official listed on Shannon Floyd DPM PA's NPPES record is Shannon Floyd, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Floyd DPM PA's NPI active?
- Yes — Shannon Floyd DPM PA's NPI (1174845622) is active in the NPPES registry as of the last update on 2013-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.