Organization Active NPI

Excel Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Lakewood Ranch, FL
National Provider Identifier
1063377265
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EXCEL FOOT AND ANKLE PLLC
Practice address
11065 Gatewood Dr BLDG C102
Lakewood Ranch, FL 34211-4944
Phone
(941) 782-8639
NPI assigned
Dec 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Jemaar Graham, DPMNPI 1255747705
Title
Owner
Phone
(941) 782-8639

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

11065 Gatewood Dr BLDG C102
Lakewood Ranch, FL 34211-4944

Mailing address

11065 Gatewood Dr BLDG C102
Lakewood Ranch, FL 34211-4944

National Provider Directory

National Provider Directory

Locations

11065 Gatewood Dr
Bldg C102
Lakewood Ranch, FL 34211
Phone (941) 782-8639

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": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1063377265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR BLDG C102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "fax_number": "941-751-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 GATEWOOD DR BLDG C102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342114944",
            "telephone_number": "941-782-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JEMAAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-782-8639",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.