Professional Footcare Solutions LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PROFESSIONAL FOOTCARE SOLUTIONS LLC

Practice address

406 Briarwood Dr Ste 400
Jackson, MS 39206-3063

Phone

(601) 977-9002

Fax

(702) 977-9005

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael BoykinsNPI 1205049657

Title

Owner

Phone

(601) 291-0036

Specialties & licenses 2

Addresses

Other names 1

• PROFESSIONAL FOOTCARE SOLUTIONS Other name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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.

• Michael L Boykins, D.P.M.

  • Foot Surgery Podiatrist
  • Ridgeland, MS
  • NPI 1205049657
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1649021627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR STE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063063",
            "telephone_number": "601-977-9002",
            "fax_number": "702-977-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR STE 400",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063063",
            "telephone_number": "601-977-9002",
            "fax_number": "702-977-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FOOTCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "BOYKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-291-0036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL FOOTCARE SOLUTIONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isabelle Ann Prine
• Benita Pringle Ervin
• Priscilla Pearson, LCSW, Inc.
• Racheal Marie Pritchett, PMHNP-BC
• Gwendolyn Proctor, CMHT
• Professional Quality Healthcare (Professional Quality Hyealthcare LLC)
• Progressive Counseling Services
• Progressive Movement Counseling & Consultation Services, LLC
• Progressivehealth Rehabilitation Solutions, Inc
• Prolific Health & Wellness PA

• Podiatrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.