OrganizationActive
Geriatric Physicians, Inc
NPI 1972078699 · Podiatrist · Merritt Island, FL
Provider details
- NPI number
- 1972078699
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- John Davenport, President(321) 433-0776
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1490 Polaris St
Merritt Island, FL 32953-3127
Phone: (213) 433-0776
Fax: (954) 944-0308
Street-level locationGet directions
Mailing address
1490 Polaris St
Merritt Island, FL 32953-3127
Registry dates
- Enumerated
- 2018-10-09
- Last updated
- 2018-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.