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Instride Foot and Ankle Specialists, PLLC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Supply, NC

NPI 1346594504 · NPPES record last updated Aug 20, 2025

Key facts

NPI
1346594504
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
Legal business name
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Practice address
14 Doctors Cir
Suite 2
Supply, NC 28462-4097
Phone
(910) 755-6512
Fax
(910) 755-6548
NPI assigned
Nov 8, 2012
Organization subpart
No

Authorized official

Name
Eldon Peters
Title
Vice President
Phone
(919) 829-0076

Other NPIs with the same Medicare PAC ID 21

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

Corporate family (same tax ID) 23

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

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130129000206 NC DME Supplier - Physician - Podiatry 7012168271 Practice locations: Supply, NC

National Provider Directory

Tax ID family
Instride Foot and Ankle Specialists PLLC (24 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 213ES0103X Yes

Addresses

Primary practice location

14 Doctors Cir
Suite 2
Supply, NC 28462-4097

Mailing address

1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone (704) 886-1918

Other providers in Supply, NC

All providers in Supply, NC · Foot & Ankle Surgery Podiatrist in North Carolina

Sources for this page

Verify at the official NPI Registry.