Organization Active NPI

Columbia Foot Clinic

  • Podiatric Clinic/Center
  • Columbia, SC
National Provider Identifier
1669589834
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
COLUMBIA FOOT CLINIC
Practice address
1516 Calhoun St
Columbia, SC 29201-2607
Phone
(803) 254-6114
Fax
(803) 254-7674
NPI assigned
Aug 24, 2006
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Ralph E Payne, DPMNPI 1538256417
Title
Doctor Associate
Phone
(803) 254-6114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

1516 Calhoun St
Columbia, SC 29201-2607

Mailing address

1516 Calhouns Street
Columbia, SC 29201
Phone (803) 254-6114

Other identifiers 1

IdentifierTypeStateIssuer
PA1168MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040928000747 SC Part B Supplier - Clinic/Group Practice 9537138458 Receives reassigned benefits from 5 practitioners
Practice locations: Columbia, SC
O20100930099790 SC DME Supplier - Physician - Podiatry 9537138458 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

1516 Calhoun St
Columbia, SC 29201
Phone (803) 254-6114

1818 Henderson St
Ste 102
Columbia, SC 29201
Phone (803) 254-2524

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1669589834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CALHOUNS STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-254-6114",
            "fax_number": "803-254-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012607",
            "telephone_number": "803-254-6114",
            "fax_number": "803-254-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR ASSOCIATE",
        "authorized_official_telephone_number": "803-254-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1168",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.