NPIMap

Individual provider Active NPI

Nicholas Lee Varakin, DPM

  • Primary Podiatric Medicine Podiatrist
  • Greenville, SC
National Provider Identifier
1013408210
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
744 Issued in SC
Practice address
11 Mills Ave
Greenville, SC 29605-4015
Phone
(864) 232-3668
NPI assigned
May 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 744 SC
Foot Surgery Podiatrist 213ES0131X 744 SC
Student in an Organized Health Care Education/Training Program 390200000X PA
Primary Podiatric Medicine Podiatrist 213EP1101X 744 SC Primary

Addresses

Primary practice location

11 Mills Ave
Greenville, SC 29605-4015

Mailing address

1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 886-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607002196 SC Practitioner - Podiatry 9638426554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instride Foot and Ankle Specialists, PLLC 46 clinicians

Practice addresses (Care Compare)

11 Mills Ave
Greenville, SC 29605-4015
Phone (864) 232-3668

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue811
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
744SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Feb 25, 2022 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Feb 25, 2022 Accepting new patients

Locations

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

700 N A St
Easley, SC 29640
Phone (846) 306-0042

11 Mills Ave
Greenville, SC 29605
Phone (864) 232-3668

1190 Highway 9 Byp W
Lancaster, SC 29720
Phone (803) 283-9920

Interoperability endpoints

  • Direct secure messaging: nicholas.varakin.p1@direct.piedpod.nextgenshare.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1013408210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 LEE ANN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-886-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054015",
            "telephone_number": "864-232-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARAKIN",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "744",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "744",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "SC",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.