Individual provider Active NPI

Michelle P Glover, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbia, SC
National Provider Identifier
1154627008
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
615 Issued in SC
Practice address
4100 N Main St Ste 204
Columbia, SC 29203-5800
Phone
(803) 401-5356
Fax
(803) 401-5356
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 615 SC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001155 GA

Addresses

Primary practice location

4100 N Main St Ste 204
Columbia, SC 29203-5800

Mailing address

4100 N Main St Ste 204
Columbia, SC 29203-5800
Phone (803) 401-5356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624000445 SC Practitioner - Podiatry 9537450457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers, Inc.Group PAC ID 2860305075, shared by 7 NPIs, 25 clinicians

Practice addresses (Care Compare)

3310 Magnolia St
Orangeburg, SC 29115-1466

4100 N Main St
Suite 204
Columbia, SC 29203-5800
Phone (803) 401-5356

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue262
Removal or shaving of skin growth79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001155GAMDFoot & Ankle Surgery Podiatrist
615SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc CurrentSince Apr 3, 2023 Accepting new patients
Family Health Centers, Inc CurrentSince Apr 3, 2023 Accepting new patients
Elgin Podiatry Institute, LLC Foot & Ankle Surgery PastSince Jan 10, 2011 Accepting new patients
Keyoka S Smith DPM LLC Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients
Family Health Centers, Inc. Past Accepting new patients

Locations

922 Holly St
Holly Hill, SC 29059
Phone (803) 496-7174

3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900

558 Chestnut St
St Matthews, SC 29135
Phone (803) 655-4099

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEFCD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1154627008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N MAIN ST STE 204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-401-5356",
            "fax_number": "803-497-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N MAIN ST STE 204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-401-5356",
            "fax_number": "803-401-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "615",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.