Khumalo Foot and Ankle Clinic, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KHUMALO FOOT AND ANKLE CLINIC, INC

Practice address

1109 E Reelfoot Ave Ste K
Union City, TN 38261-5867

Phone

(731) 599-9909

Fax

(731) 599-9970

NPI assigned

Aug 25, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Kay Page

Title

Credentialing Manager

Phone

(731) 693-3465

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Bhekumuzi McGlen Khumalo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Union City, TN
  • NPI 1144312521
  Medicare reassignment NPD
• Deborah Sue St Clair, MD

  • Orthopaedic Surgery Physician
  • Union City, TN
  • NPI 1801828009
  NPD (past)

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1366099269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E REELFOOT AVE STE K",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615867",
            "telephone_number": "731-599-9909",
            "fax_number": "731-599-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E REELFOOT AVE STE K",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615867",
            "telephone_number": "731-599-9909",
            "fax_number": "731-599-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHUMALO FOOT AND ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-25",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "731-693-3465"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100815670",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352636",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100242870",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051676",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Todd Keller, D.C.
• Kisha Darlene Kelly, LCSW
• Tina Kelly, MSN, FNP-C
• Kentenn Anesthesia
• Amanda Lee Keown, NP-C
• Bhekumuzi McGlen Khumalo, DPM
• Kizer Clinic PLLC
• Kizer Pharmacy LLC
• Kizer Pharmacy LLC
• Jason Smith Kizer, PHARM. D

• Foot & Ankle Surgery Podiatrist in Union City, TN
• Providers in Union City, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.