Active NPI
Michelle P Glover, DPM
- Foot & Ankle Surgery Podiatrist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 615
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 262 |
| Removal or shaving of skin growth | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001155 | GA | MD | Foot & Ankle Surgery Podiatrist |
| 615 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc | Current | Accepting new patients | |
| Family Health Centers, Inc | Current | Accepting new patients | |
| Elgin Podiatry Institute, LLC | Foot & Ankle Surgery | Past | 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
- 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.
-
- Podiatrist
- Columbia, SC
- NPI 1871011387
-
- Federally Qualified Health Center (FQHC)
- Orangeburg, SC
- NPI 1144248451
-
- Federally Qualified Health Center (FQHC)
- Holly Hill, SC
- NPI 1609279744
-
- Foot & Ankle Surgery Podiatrist
- Columbia, SC
- NPI 1003112731
-
- Federally Qualified Health Center (FQHC)
- Saint George, SC
- NPI 1437353794
-
- Federally Qualified Health Center (FQHC)
- Saint Matthews, SC
- NPI 1528262888
-
- Federally Qualified Health Center (FQHC)
- Neeses, SC
- NPI 1669676201
-
- Federally Qualified Health Center (FQHC)
- Denmark, SC
- NPI 1700080066
-
- Podiatric Clinic/Center
- Columbia, SC
- NPI 1164816211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.