NPIMap

Organization Active NPI

Instride Foot and Ankle Specialists, PLLC

Doing business as Carolina Foot and Ankle Specialists, PA

  • Primary Podiatric Medicine Podiatrist
  • Gastonia, NC
National Provider Identifier
1619935467
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Doing business as
Carolina Foot and Ankle Specialists, PA
Practice address
603 Cox Rd
Gastonia, NC 28054-3432
Phone
(704) 867-7388
Fax
(704) 865-8999
NPI assigned
May 2, 2006
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 296 NC
Foot Surgery Podiatrist 213ES0131X NU

Addresses

Primary practice location

603 Cox Rd
Gastonia, NC 28054-3432

Mailing address

1036 Branchview Dr Ste 216
Concord, NC 28025-0113
Phone (704) 886-1918

Other names 1

  • Carolina Foot and Ankle Specialists, PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220617000712 NC DME Supplier - Physician - Podiatry 7012168271 Practice locations: Gastonia, NC

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

National Provider Directory

National Provider Directory
Tax ID family
Instride Foot Ankle Specia24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

1036 Branchview Dr
Ste 100
Concord, NC 28025

365 N New Hope Rd
Ste 4
Gastonia, NC 28054
Phone (704) 867-7388

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1619935467",
    "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": "704-886-1918",
            "fax_number": "704-257-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543432",
            "telephone_number": "704-867-7388",
            "fax_number": "704-865-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "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": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "296",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Foot and Ankle Specialists, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.