Organization Active NPI

Shoals Foot and Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Florence, AL
National Provider Identifier
1477381366
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SHOALS FOOT AND ANKLE CLINIC PC
Doing business as
Shoals Foot and Ankle Clinic PC
Practice address
202 Rosa LN
Florence, AL 35630-1769
Phone
(256) 764-1806
NPI assigned
Jul 23, 2024
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Joshua Blake Burchell, DPMNPI 1083286306
Title
Podiatrist
Phone
(256) 764-1806

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

202 Rosa LN
Florence, AL 35630-1769

Mailing address

382 County Road 168
Killen, AL 35645-4528
Phone (256) 710-4747

Other names 1

  • Shoals Foot and Ankle Clinic PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240822000446 AL Part B Supplier - Clinic/Group Practice 8820537848 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL
O20250226000545 AL DME Supplier - Physician - Podiatry 8820537848 Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

202 Rosa Ln
Florence, AL 35630
Phone (256) 764-1806

Practitioners & affiliated clinicians

Practitioners 2

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1477381366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 COUNTY ROAD 168",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356454528",
            "telephone_number": "256-710-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROSA LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301769",
            "telephone_number": "256-764-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS FOOT AND ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "BURCHELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "256-764-1806",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoals Foot and Ankle Clinic PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

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.

Verify at the official NPI Registry.