Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Garrett D Cudmore, DO

Individual provider Family Medicine Physician · NPI 1154907061

Garrett D Cudmore, DO is a Family Practice in Callahan, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2021, 5 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

45465 Fifth Ave
Callahan, FL 32011-3901
Phone: (904) 879-4544
Fax: (904) 390-7472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS21394 (FL)

Record details

NPI number1154907061
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing addressPo Box 746638, Atlanta, GA 30374-6638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2021 (5 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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