Foot Care Specialist , PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

480 Issued in NC

Legal business name

FOOT CARE SPECIALIST , PLLC

Practice address

1140 Holly Springs
Suite 107
Holly Springs, NC 27540-7584

Phone

(919) 557-0300

Fax

(919) 567-0306

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lawanda F Baile Rayner, DPM

Title

Member

Phone

(919) 557-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawanda F Bailey-Rayner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Holly Springs, NC
  • NPI 1750360129
  Medicare reassignment NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1669417465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS RD",
            "address_2": "SUITE 107",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409634",
            "telephone_number": "919-342-7094",
            "fax_number": "919-400-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS",
            "address_2": "SUITE 107",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407584",
            "telephone_number": "919-557-0300",
            "fax_number": "919-567-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE SPECIALIST , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BAILE  RAYNER",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-557-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Knowles Floyd, M.ED
• Scotillia Noel Fogg, OTR/L
• James D. Foltz, PT, MPT, OCS
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Joanna Forester, LCSW
• Peter Formale, DPT
• Forrich41, LLC
• Mariana Schreiner Foster, CNM
• Amy M Fowler, MD

• Foot & Ankle Surgery Podiatrist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.