Organization Active NPI

Premier Foot Care, Inc

  • Podiatrist
  • Fairhope, AL
National Provider Identifier
1285526962
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREMIER FOOT CARE, INC
Practice address
208 Greeno Rd N Ste a
Fairhope, AL 36532-3057
Phone
(251) 580-0481
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Jeffrey Martin DullNPI 1275560344
Title
DPM/Owner
Phone
(251) 580-0481

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

208 Greeno Rd N Ste a
Fairhope, AL 36532-3057

Mailing address

208 Greeno Rd N Ste a
Fairhope, AL 36532-3057

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124003130 AL DME Supplier - Physician - Podiatry 7113952011 Practice locations: Fairhope, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premier Foot Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8525 State St
Citronelle, AL 36522
Phone (251) 866-0919

924 Plantation Blvd
Ste B
Fairhope, AL 36532
Phone (251) 517-5273

208 Greeno Rd N
Ste A
Fairhope, AL 36532
Phone (251) 580-0481

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1285526962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GREENO RD N STE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GREENO RD N STE A",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323057",
            "telephone_number": "251-580-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "DULL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "251-580-0481"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.