Organization Active NPI

Pike Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Greenville, SC
National Provider Identifier
1063220671
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
PIKE PODIATRY LLC
Practice address
111 Woodson St
Greenville, SC 29611-7561
Phone
(864) 248-6272
NPI assigned
Dec 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Dr. Cassandra W Pike, DPMNPI 1538113279
Title
Owner
Phone
(864) 248-6272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

111 Woodson St
Greenville, SC 29611-7561

Mailing address

111 Woodson St
Greenville, SC 29611-7561
Phone (864) 248-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250305001773 SC Part B Supplier - Clinic/Group Practice 1557882628 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC
O20250618002336 SC DME Supplier - Physician - Podiatry 1557882628 Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

111 Woodson St
Powdersville, SC 29611
Phone (864) 248-6272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1063220671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WOODSON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117561",
            "telephone_number": "864-248-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WOODSON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117561",
            "telephone_number": "864-248-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-28",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-248-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.