NPIMap

Organization Active NPI

Palmetto Podiatry Group of Anderson, PA

Doing business as Alpine Podiatry Center

  • Non-Pharmacy Dispensing Site
  • Fort Mill, SC
National Provider Identifier
1073318069
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PALMETTO PODIATRY GROUP OF ANDERSON, PA
Doing business as
Alpine Podiatry Center
Practice address
105 Ben Casey Dr
Fort Mill, SC 29708-8561
Phone
(803) 396-8670
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PALMETTO PODIATRY GROUP OF ANDERSON PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Kiya Boyce
Title
Regional Credentialing Specialist
Phone
(704) 897-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

105 Ben Casey Dr
Fort Mill, SC 29708-8561

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159

Other names 1

  • Alpine Podiatry Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Podiatry Group of Anderson PA6 organizations share this tax ID, including this one
Part of
Palmetto Podiatry Group of Anderson PA

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Ben Casey Dr
Fort Mill, SC 29708
Phone (803) 396-8670

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1073318069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BEN CASEY DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088561",
            "telephone_number": "803-396-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PODIATRY GROUP OF ANDERSON, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO PODIATRY GROUP OF ANDERSON PA",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "KIYA",
        "authorized_official_title_or_position": "REGIONAL CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "704-897-2261"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.