NPIMap

Organization Active NPI

Physicians Footcare, LLC

  • Foot & Ankle Surgery Podiatrist
  • Columbia, SC
National Provider Identifier
1194909556
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PHYSICIANS FOOTCARE, LLC
Doing business as
Physicians Footcare, LLC
Practice address
1608 Westminster Dr
Columbia, SC 29204-2018
Phone
(803) 256-6776
Fax
(803) 256-6778
NPI assigned
Dec 20, 2007
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. Kevin L. Ray, DPMNPI 1194752253
Title
Medical Director
Phone
(803) 256-6776

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1608 Westminster Dr
Columbia, SC 29204-2018

Mailing address

1608 Westminster Dr
Columbia, SC 29204-2018
Phone (803) 256-6776

Other identifiers 2

IdentifierTypeStateIssuer
DN1264OtherSCMEDICARE RR
GP9909MedicaidSC

Other names 3

  • PHYSICIANS FOOTCARE, LLC Doing business as
  • THE FOOT INSTITUTE, LLC Former legal business name
  • The Foot Institute Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080227000800 SC Part B Supplier - Clinic/Group Practice 4587748652 Receives reassigned benefits from 34 practitioners
Practice locations: Columbia, SC; Sumter, SC
O20220118001890 GA Part B Supplier - Clinic/Group Practice 4587748652 Receives reassigned benefits from 6 practitioners
Practice locations: Augusta, GA; Savannah, GA; Hinesville, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1519 Laney Walker Blvd
Augusta, GA 30904
Phone (706) 724-7000

1655 Bernardin Ave
Ste 210
Columbia, SC 29204
Phone (803) 256-6776

1655 Brabham Ave
Columbia, SC 29204
Phone (803) 254-5038

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1194909556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WESTMINSTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042018",
            "telephone_number": "803-256-6776",
            "fax_number": "803-256-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WESTMINSTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042018",
            "telephone_number": "803-256-6776",
            "fax_number": "803-256-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOOTCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-256-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DN1264",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9909",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS FOOTCARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE FOOT INSTITUTE, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Foot Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 30, 2026; 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.