Dudley Shaw, P.A
NPI 1598768210 · Medical Physician Assistant · Palm Coast, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dudley Shaw, P.A is a Medical Physician Assistant provider in Palm Coast, FL (NPI 1598768210).
Provider details
- NPI number
- 1598768210
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A
- Sex
- Male
- License
- PA2468 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
- 2005-05-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Dudley Shaw's NPI number?
- Dudley Shaw's National Provider Identifier (NPI) is 1598768210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dudley Shaw's specialty?
- Dudley Shaw is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dudley Shaw located?
- Dudley Shaw's practice location on file with NPPES is 6 Office Park Dr, Palm Coast, FL 32137-3808.
- What is Dudley Shaw's phone number?
- The practice phone number listed in the NPPES registry for Dudley Shaw is (386) 447-6615.
- Does Dudley Shaw accept Medicare?
- Dudley Shaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dudley Shaw's NPI active?
- Yes — Dudley Shaw's NPI (1598768210) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.