Active NPI
Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Podiatrist
- Charlotte, NC
National Provider Identifier
1356979454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
- Practice address
- 8310 Medical Plaza Dr Ste E
Charlotte, NC 28262-6703 - Phone
- (704) 548-0222
- Fax
- (704) 548-1157
- NPI assigned
- Apr 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Tritto
- Title
- Managing Partner
- Phone
- (301) 933-7133
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
8310 Medical Plaza Dr Ste E
Charlotte, NC 28262-6703
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200605001038 | NC | DME Supplier - Physician - Podiatry | 6305017633 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Foot Ankle Specs Mid Atlan
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Podiatrist
- Lincolnton, NC
- NPI 1124600051
-
- Podiatrist
- Monroe, NC
- NPI 1154107837
-
- Podiatrist
- Waxhaw, NC
- NPI 1235711169
-
- Podiatrist
- Matthews, NC
- NPI 1255913182
-
- Interventional Cardiology Physician
- Cary, NC
- NPI 1336092063
-
- Podiatrist
- Charlotte, NC
- NPI 1376427641
-
- Podiatrist
- Matthews, NC
- NPI 1649154915
-
- Podiatrist
- Charlotte, NC
- NPI 1144859018
-
- Podiatrist
- Charlotte, NC
- NPI 1205464377
-
- Podiatrist
- Concord, NC
- NPI 1255213997
-
dba Raleigh Foot & Ankle Specialist
- Non-Pharmacy Dispensing Site
- Holly Springs, NC
- NPI 1295515955
-
- Podiatrist
- Harrisburg, NC
- NPI 1316576283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1356979454",
"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",
"fax_number": "301-933-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 MEDICAL PLAZA DR STE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626703",
"telephone_number": "704-548-0222",
"fax_number": "704-548-1157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-01",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "TRITTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "301-933-7133"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Food Lion LLC (Bloom Pharmacy)
- Foot and Ankle Specialists of the Mid-Atlantic LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot Functions (Feet Suite)
- Kelly Marie Forb, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.