Organization Active NPI

Advantage Foot Care of South Carolina LLC

  • Foot Surgery Podiatrist
  • Summerton, SC
National Provider Identifier
1306501127
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
ADVANTAGE FOOT CARE OF SOUTH CAROLINA LLC
Practice address
6824 M W Rickenbaker Rd
Summerton, SC 29148-8709
Phone
(803) 460-3080
NPI assigned
Nov 5, 2021
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. Helen D Gipson, DPMNPI 1508925876
Title
President
Phone
(214) 404-5215

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
Foot Surgery Podiatrist 213ES0131X Primary

Addresses

Primary practice location

6824 M W Rickenbaker Rd
Summerton, SC 29148-8709

Mailing address

104 Berkeley Square LN # 135
Goose Creek, SC 29445-2958
Phone (803) 460-3080

Other identifiers 1

IdentifierTypeStateIssuer
137OtherSCMEDICAL BOARD OF SC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130001142 SC Part B Supplier - Clinic/Group Practice 7618367988 Receives reassigned benefits from 1 practitioner
Practice locations: Goose Creek, SC

National Provider Directory

National Provider Directory

Locations

104 Berkeley Square Ln
Goose Creek, SC 29445
Phone (803) 460-3080

528 Broad St
Ste 102
Sumter, SC 29150

Practitioners & affiliated clinicians

Practitioners 1

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": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1306501127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BERKELEY SQUARE LN # 135",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452958",
            "telephone_number": "803-460-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 M W RICKENBAKER RD",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291488709",
            "telephone_number": "803-460-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE FOOT CARE OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-404-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF SC",
            "identifier": "137",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerton, SC

Sources for this page

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