Individual provider Active NPI

Clarence M Stewart III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
National Provider Identifier
1669458915
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
431 Issued in NC
Practice address
2701 New Bern Ave
Raleigh, NC 27610-1822
Phone
(919) 231-7969
Fax
(919) 231-7970
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 431 NC Primary

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 2

IdentifierTypeStateIssuer
08039OtherNCBCBS
8905939MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206001071 NC Practitioner - Podiatry 0345295366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates of North Carolina, PLLCGroup PAC ID 2365497385, 5 clinicians

Practice addresses (Care Compare)

2701 New Bern Ave
Raleigh, NC 27610-1822
Phone (919) 231-7969

Hospital & facility affiliations

  • Medi Home Health Agency Home health agency, Raleigh, NC, CCN 347237
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of tissue228
Removal of skin lesions1-10
Removal of nail tissue72
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
431NCMDAddiction (Substance Use Disorder) Counselor
3565MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of North Carolina, PLLC Podiatrist CurrentSince Jul 15, 1996 Accepting new patients
Foot & Ankle Associates of North Carolina, PLLC Podiatrist CurrentSince Nov 1, 2010 Accepting new patients

Locations

2701 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-7969

740 Sutters Creek Blvd
Rocky Mount, NC 27804
Phone (252) 451-4040

2130 Forest Hills Rd W
Ste C
Wilson, NC 27893
Phone (252) 281-4442

Interoperability endpoints

  • Direct secure messaging: clarencestewart@faaaoncp-nc.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1669458915",
    "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": {
        "last_name": "STEWART",
        "first_name": "CLARENCE",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08039",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8905939",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.