NPIMap

Individual provider Active NPI

Bryan C Satterwhite

  • Foot Surgery Podiatrist
  • Shallotte, NC
National Provider Identifier
1346291325
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
432 Issued in NC
Practice address
4428 Main St
Shallotte, NC 28470-4450
Phone
(910) 755-3338
Fax
(910) 754-3335
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 432 NC Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 432 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 432 NC

Addresses

Primary practice location

4428 Main St
Shallotte, NC 28470-4450

Mailing address

4428 Main St
Shallotte, NC 28470-4450
Phone (910) 755-3338

Other identifiers 1

IdentifierTypeStateIssuer
890804VMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100210000755 NC Practitioner - Podiatry 3173412814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Foot Specialists PLLCGroup PAC ID 8325256787, 2 clinicians

Practice addresses (Care Compare)

4428 Main St
Shallotte, NC 28470-4450
Phone (910) 755-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10 of 100Reported as individual
Quality
20
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue126
Removal of skin lesions193
Removal of nail tissue1285
Removal or shaving of skin growth334
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Foot Specialists, PLLC Primary Podiatric Medicine CurrentSince Feb 1, 2004 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Dec 31, 2025 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Dec 31, 2025 Accepting new patients
Atlantic Sleep Centers, PLLC PastSince Apr 17, 2018 Accepting new patients

Locations

4428 Main St
Shallotte, NC 28470
Phone (910) 754-8154

902 N Howe St
Southport, NC 28461
Phone (910) 457-4789

5504 Rob Gandy Blvd SE
Southport, NC 28461

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1346291325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704450",
            "telephone_number": "910-755-3338",
            "fax_number": "910-754-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704450",
            "telephone_number": "910-755-3338",
            "fax_number": "910-754-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERWHITE",
        "first_name": "BRYAN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "432",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "432",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890804V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.