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

John Randall Northrup, DPM

Individual provider Podiatrist · NPI 1891178406

John Randall Northrup, DPM is a Podiatry in St Augustine, Florida. Graduated from Barry University School of Podiatric Medicine in 2015, 11 years ago. Practices with Superior Podiatry LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Trained at
Barry University School of Podiatric Medicine
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1690 US Highway 1 S Ste C
St Augustine, FL 32084-6024
Phone: (904) 436-8001
Fax: (904) 377-6776
Show map & directions

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

Additional practice locations (1)

  • 9 Pine Cone Dr Ste 101, Palm Coast, FL 32137-8683 — (904) 436-8001

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3952 (FL)
Podiatrist Taxonomy 213E00000X · Licence PO3952 (FL)

Record details

NPI number1891178406
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address1690 Us Highway 1 S Ste C, St Augustine, FL 32084-6024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Superior Podiatry Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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