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

Jacob Ivey, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1891374302

Jacob Ivey, DPM is a Podiatry in Winter Garden, Florida. Graduated from Arizona Podiatric Med Program at Midwestern Un in 2021, 5 years ago. Practices with All Podiatry Group Inc, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Arizona Podiatric Med Program at Midwestern Un
Licensed in
FL
In the registry since
2021
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone: (407) 605-2321
Fax: (407) 671-4155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1530 Celebration Blvd Ste 402, Celebration, FL 34747-5165 — (407) 557-3018

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO4464 (FL)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence PO4464 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO4464 (FL)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence PO4464 (FL)

Record details

NPI number1891374302
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
Graduated 2021 (5 years in practice)
Group practice All Podiatry Group Inc. — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount