Organization Active NPI

Carolina Family Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Laurinburg, NC
National Provider Identifier
1386389922
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CAROLINA FAMILY FOOT AND ANKLE
Practice address
1707 Berwick Dr Ste B
Laurinburg, NC 28352-5543
Phone
(910) 830-8200
Fax
(910) 277-1966
NPI assigned
Apr 28, 2022
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Sisi Liang, DPMNPI 1407334220
Title
DPM
Phone
(215) 651-8863

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 & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

1707 Berwick Dr Ste B
Laurinburg, NC 28352-5543

Mailing address

1707 Berwick Dr Ste B
Laurinburg, NC 28352-5543
Phone (215) 651-8863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220525000020 NC Part B Supplier - Clinic/Group Practice 9638556004 Receives reassigned benefits from 1 practitioner
Practice locations: Laurinburg, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1386389922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 BERWICK DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525543",
            "telephone_number": "215-651-8863",
            "fax_number": "910-277-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 BERWICK DR STE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525543",
            "telephone_number": "910-830-8200",
            "fax_number": "910-277-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "SISI",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "215-651-8863",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.