Active NPI
Foot & Ankle Associates of North Carolina, PLLC
- Clinical Medical Laboratory
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC
- Practice address
- 2701 New Bern Ave
Raleigh, NC 27610-1822 - Phone
- (919) 231-7969
- Fax
- (919) 231-7970
- NPI assigned
- Mar 28, 2008
- Last updated
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clarence Stewart, DPM
- Title
- Partner
- Phone
- (919) 231-7969
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Podiatrist | 213E00000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU |
Addresses
Primary practice location
2701 New Bern Ave
Raleigh, NC 27610-1822
Mailing address
PO Box 14759
Raleigh, NC 27620-4759
Phone (919) 231-7969
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690187E | Medicaid | NC | |
| 0809W | Other | NC | BCBS GROUP |
| CK8360 | Other | NC | PALMETTO GBA RAILROAD ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220525000582 | NC | Part B Supplier - Independent Clinical Laboratory | 2365497385 |
1 other NPI on this enrollment Practice locations: Raleigh, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Foot & Ankle Surgery Podiatrist
- Rocky Mount, NC
- NPI 1790873503
2365497385
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Rocky Mount, NC
- NPI 1790873503
O20220525000582
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2250012 | Foot and Ankle Associates of NC, PLC, the | Accreditation | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
320 Veterans Pkwy
Clayton, NC 27520
Phone (919) 763-1510
2701 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-7969
1406 Western Blvd
Ste A
Tarboro, NC 27886
Phone (252) 824-7700
2130 Forest Hills Rd W
Ste C
Wilson, NC 27893
Phone (252) 281-4442
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
- NPI 1669458915
-
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
- NPI 1962488759
-
- Foot & Ankle Surgery Podiatrist
- Tarboro, NC
- NPI 1063498301
-
- Foot & Ankle Surgery Podiatrist
- Sanford, NC
- NPI 1619609021
-
- Interventional Cardiology Physician
- Garner, NC
- NPI 1962504100
-
- Interventional Cardiology Physician
- Raleigh, NC
- NPI 1649279613
-
- Interventional Cardiology Physician
- Raleigh, NC
- NPI 1700104221
-
- Interventional Cardiology Physician
- Raleigh, NC
- NPI 1629076161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1659543833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14759",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276204759",
"telephone_number": "919-231-7969",
"fax_number": "919-231-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101822",
"telephone_number": "919-231-7969",
"fax_number": "919-231-7970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "CLARENCE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "919-231-7969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690187E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0809W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD ME",
"identifier": "CK8360",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Sarah Elizabeth Fontana
- Maureen Ann Fontanes, RN
- Food Lion LLC (Food Lion Pharmacy #1358)
- Food Lion LLC (Food Lion Pharmacy #1654)
- Robert Edward Foor, M.D.
- Foot and Ankle Specialists of the Mid Atlantic LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.