NPIMap

Organization Active NPI

Instride Foot and Ankle Specialists, PLLC

  • Primary Podiatric Medicine Podiatrist
  • Concord, NC
National Provider Identifier
1457601601
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
443 Issued in NC
Legal business name
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Practice address
1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone
(704) 886-1918
NPI assigned
Sep 14, 2012
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Eldon PetersNPI 1588071484
Title
Vice President
Phone
(919) 829-0076

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X 443 NC Primary
Radiology PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ER0200X
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X

Addresses

Primary practice location

1036 Branchview Dr Ste 216
Concord, NC 28025-0113

Mailing address

1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone (048) 861-9187

Other practice location 1

1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 786-4482

Other practice location 2

130 Lake Concord Rd NE Ste B
Concord, NC 28025-1906
Phone (704) 786-4482

Other identifiers 1

IdentifierTypeStateIssuer
5921668MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121115000501 NC Part B Supplier - Clinic/Group Practice 7012168271 Receives reassigned benefits from 39 practitioners
Practice locations: New Bern, NC; Raleigh, NC; Salisbury, NC; Gastonia, NC; Siler City, NC; Statesville, NC; Supply, NC; Wake Forest, NC…
O20151218001546 SC Part B Supplier - Clinic/Group Practice 7012168271 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Conway, SC; Easley, SC; Greenville, SC; Indian Land, SC; Lancaster, SC; Rock Hill, SC

Other NPIs with the same Medicare PAC ID 21

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

View all 21

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2133352Instride Foot and Ankle Specialists,1036 Branchview Drive Suite 216, Concord, NC 28025ComplianceJun 26, 2027

National Provider Directory

National Provider Directory

Locations

143 N 3rd St
Albemarle, NC 28001
Phone (704) 786-4482

7560 Carpenter Fire Station Rd
Ste 303A
Cary, NC 27519
Phone (919) 829-0076

1506 E Franklin St
Ste 104
Chapel Hill, NC 27514
Phone (919) 960-8858

12610 N Community House Rd
Ste 202
Charlotte, NC 28277
Phone (704) 541-3668

13521 Steelecroft Pkwy
Ste B
Charlotte, NC 28278
Phone (704) 315-5845

8912 Blakeney Professional Dr
Ste A2
Charlotte, NC 28277
Phone (704) 544-6517

609 Attain St
Ste 303
Fuquay Varina, NC 27526

123 Pompano Pl
Jacksonville, NC 28546

123 Pompano Pl
Ste 500
Jacksonville, NC 28546
Phone (910) 939-3668

119 Ingram Dr
King, NC 27021
Phone (336) 443-9190

401 Airport Rd
Kinston, NC 28504
Phone (252) 523-7070

626 Clark Dr
Lincolnton, NC 28092
Phone (704) 732-4361

1630 Campus Park Dr
Monroe, NC 28112
Phone (704) 283-9422

367 S Andy Griffith Pkwy
#200
Mount Airy, NC 27030
Phone (336) 443-9190

1711 Davie Ave
Statesville, NC 28677
Phone (704) 873-9797

1771 Davie Ave
Statesville, NC 28677

14 Doctors Cir
Supply, NC 28462

14 Doctors Cir
Ste 2
Supply, NC 28462
Phone (910) 755-6512

3109 Trent Rd
Trent Woods, NC 28562
Phone (252) 634-2447

123 Capcom Ave
Ste 101
Wake Forest, NC 27587

833 Wake Forest Business Park
Ste C
Wake Forest, NC 27587
Phone (919) 230-7233

4113 Oleander Dr
Wilmington, NC 28403

124 Professional Park Dr
Conway, SC 29526
Phone (843) 234-8950

1190 Highway 9 Byp W
Ste 200
Lancaster, SC 29720

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1457601601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BRANCHVIEW DR STE 216",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250113",
            "telephone_number": "048-861-9187",
            "fax_number": "704-257-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 BRANCHVIEW DR STE 216",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250113",
            "telephone_number": "704-886-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 Lee Ann Dr NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252911",
            "country_code": "US",
            "telephone_number": "704-786-4482",
            "fax_number": "704-786-0604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Lake Concord Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251906",
            "country_code": "US",
            "telephone_number": "704-786-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ELDON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "919-829-0076"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "443",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921668",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.