Active NPI
Cody M Drake, DPM
- Foot & Ankle Surgery Podiatrist
- Martinsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103000961
- Practice address
- 15 Cleveland Ave
Suite 9
Martinsville, VA 24112-2937 - Phone
- (276) 632-5280
- Fax
- (276) 632-5257
- NPI assigned
- Aug 2, 2005
- Last updated
- Apr 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 304 | NC | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103000961 | VA | Primary |
Addresses
Primary practice location
15 Cleveland Ave
Suite 9
Martinsville, VA 24112-2937
Mailing address
15 Cleveland Ave
Suite 9
Martinsville, VA 24112-2937
Phone (276) 632-5280
Other practice location 1
107 W Decatur St
Madison, NC 27025-1907
Phone (336) 548-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890812E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 W Decatur St
Madison, NC 27025-1907
Phone (336) 548-4800
15 Cleveland Ave
Suite 9
Martinsville, VA 24112-2937
Phone (276) 632-5280
935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 82 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1452 |
| Removal or shaving of skin growth | 1049 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Cody Drake PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Dr. Cody Drake's Office | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
107 W Decatur St
Madison, NC 27025
Phone (336) 548-4800
15 Cleveland Ave
Ste 9
Martinsville, VA 24112
Phone (276) 632-5280
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Stanleytown, VA
- NPI 1487895348
-
- Foot & Ankle Surgery Podiatrist
- Madison, NC
- NPI 1679528319
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SOVAH Health Martinsville
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
dba SOVAH Health Danville
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
-
dba UNC Rockingham Hospital
- General Acute Care Hospital
- Eden, NC
- NPI 1326048810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1649271602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CLEVELAND AVE",
"address_2": "SUITE 9",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241122937",
"telephone_number": "276-632-5280",
"fax_number": "276-632-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CLEVELAND AVE",
"address_2": "SUITE 9",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241122937",
"telephone_number": "276-632-5280",
"fax_number": "276-632-5257"
}
],
"practiceLocations": [
{
"address_1": "107 W Decatur St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "NC",
"postal_code": "270251907",
"country_code": "US",
"telephone_number": "336-548-4480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "CODY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "304",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103000961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890812E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
- Clare Daniel Doss, FNP-C
- Dr Augustine MD & Associates Primary Care Medical Clinic
- Dr. James P. Julian, D.D.S., P.C.
- Dr. John R. Wheless III, DDS
- Dr. Jon's Urgent Care Center, LLC
- Wesley Louis Cody Dubose, DPT
- Heather Duncan, LPC
- Dva Healthcare Renal Care Inc (Martinsville Dialysis)
- Whitney M Eanes, PHD CCC-A
- William C Earles, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.