Organization Active NPI

Adult and Pediatric Foot Center, LLC

  • Foot Surgery Podiatrist
  • Memphis, TN
National Provider Identifier
1407025935
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
4822210 Issued in TN
Legal business name
ADULT AND PEDIATRIC FOOT CENTER, LLC
Practice address
5362 Estate Office Dr
Suite 1
Memphis, TN 38119-3635
Phone
(901) 537-0078
Fax
(901) 537-0096
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Maurice Hampton
Title
Authorized Official
Phone
(901) 230-7646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 4822210 TN Primary

Addresses

Primary practice location

5362 Estate Office Dr
Suite 1
Memphis, TN 38119-3635

Mailing address

5362 Estate Office Dr Ste 1
Memphis, TN 38119-3630
Phone (901) 230-7646

Other identifiers 1

IdentifierTypeStateIssuer
3353516MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000819 TN Part B Supplier - Clinic/Group Practice 7214171594 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

5362 Estate Office Dr
Ste 1DR
Memphis, TN 38119

5362 Estate Office Dr
Ste 1
Memphis, TN 38119
Phone (662) 834-3432

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1407025935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 ESTATE OFFICE DR STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193630",
            "telephone_number": "901-230-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 ESTATE OFFICE DR",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193635",
            "telephone_number": "901-537-0078",
            "fax_number": "901-537-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC FOOT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "901-230-7646"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "4822210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353516",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.