NPIMap

Organization Active NPI

Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Concord, NC
National Provider Identifier
1255213997
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Practice address
130 Lake Concord Rd NE Ste B
Concord, NC 28025-1906
Phone
(704) 786-4482
NPI assigned
Jul 23, 2025
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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
(301) 933-7133

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Podiatrist 213E00000X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

130 Lake Concord Rd NE Ste B
Concord, NC 28025-1906

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (301) 933-7133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260312000284 NC DME Supplier - Physician - Podiatry 6305017633 Practice locations: Concord, NC

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Specialists of the Mid-Atlantic LLC98 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 31)

2021 K St NW
Ste 520
Washington, DC 20006
Phone (202) 223-4616

341 N Calvert St
Ste 300
Baltimore, MD 21202
Phone (410) 576-9777

6100 Daylong Ln
Ste 102
Clarksville, MD 21029
Phone (410) 531-0900

11055 Little Patuxent Pkwy
Ste 204
Columbia, MD 21044
Phone (410) 720-0003

702 Russell Ave
Ste 103
Gaithersburg, MD 20877
Phone (301) 736-6900

10605 Concord St
Ste 300
Kensington, MD 20895
Phone (301) 424-6231

1502 S Main St
Ste 104
Mount Airy, MD 21771
Phone (301) 829-2244

1502 S Main St
Ste 307
Mount Airy, MD 21771
Phone (301) 696-0818

12417 Ocean Gtwy
Ste A6
Ocean City, MD 21842
Phone (443) 664-7253

15020 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 545-1811

3305 N Leisure World Blvd
Rm 12
Silver Spring, MD 20906
Phone (301) 598-0130

3801 International Dr
Ste 204
Silver Spring, MD 20906
Phone (301) 598-0130

1001 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 362-1836

10310 Couloak Dr
Charlotte, NC 28216
Phone (704) 971-4000

10310 Couloak Dr
Ste 200
Charlotte, NC 28216
Phone (704) 971-4000

11030 S Tryon St
Ste 308
Charlotte, NC 28273
Phone (704) 504-1004

2607 E 7th St
Ste 100
Charlotte, NC 28204
Phone (704) 708-3403

2315 Asheville Hwy
Ste 10
Hendersonvlle, NC 28791
Phone (828) 697-8686

1004 Werrington Dr
Ste 300
Holly Springs, NC 27540
Phone (919) 850-9111

2950 Senna Dr
Matthews, NC 28105
Phone (704) 845-2920

2605 Blue Ridge Rd
Ste 320
Raleigh, NC 27607
Phone (919) 787-8555

4033 Linglestown Rd
Ste 1
Linglestown, PA 17112
Phone (717) 651-0000

887A Rio East Ct
Charlottesvle, VA 22901
Phone (434) 979-8116

530 Sunset Ln
Ste A
Culpeper, VA 22701
Phone (540) 825-6113

3020 Hamaker Ct
Ste 201
Fairfax, VA 22031
Phone (703) 207-0073

Practitioners & affiliated clinicians

Practitioners 199

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 199

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1255213997",
    "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",
            "telephone_number": "301-933-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LAKE CONCORD RD NE STE B",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251906",
            "telephone_number": "704-786-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "KIYA",
        "authorized_official_title_or_position": "REGIONAL CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-933-7133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.