Organization Active NPI

Tarheel Foot of South Carolina P.a

  • Podiatrist
  • Bennettsville, SC
National Provider Identifier
1487522116
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
TARHEEL FOOT OF SOUTH CAROLINA P.A
Practice address
111 E Market St
Bennettsville, SC 29512-3126
Phone
(910) 929-6944
Fax
(910) 248-6864
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Carol Keeler
Title
HR Manager
Phone
(910) 929-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

111 E Market St
Bennettsville, SC 29512-3126

Mailing address

402 S Main St
Raeford, NC 28376-3223
Phone (910) 929-6944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251217004581 SC Part B Supplier - Clinic/Group Practice 0648765602 Receives reassigned benefits from 1 practitioner
Practice locations: Bennettsville, SC

National Provider Directory

National Provider Directory

Locations

111 E Market St
Bennettsville, SC 29512
Phone (910) 929-6944

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": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1487522116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763223",
            "telephone_number": "910-929-6944",
            "fax_number": "910-248-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MARKET ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123126",
            "telephone_number": "910-929-6944",
            "fax_number": "910-248-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL FOOT OF SOUTH CAROLINA P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "910-929-6944"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.