Footprint Podiatry, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

546 Issued in NC

Legal business name

FOOTPRINT PODIATRY, PLLC

Practice address

514 N Brightleaf Blvd
Suite 1610
Smithfield, NC 27577-4407

Phone

(919) 934-0711

NPI assigned

Mar 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bessaliea Athalia Griffin, DPMNPI 1558523779

Title

Owner/Manager

Phone

(919) 934-0711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Practitioners 1

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

• Bessaliea Athalia Griffin

  • Foot & Ankle Surgery Podiatrist
  • Smithfield, NC
  • NPI 1558523779
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1669747135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 1610",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-934-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 1610",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-934-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINT PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "BESSALIEA",
        "authorized_official_middle_name": "ATHALIA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "919-934-0711",
        "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": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amarilis Figueroa, FNP-C
• Liana R. Fink
• Meghan Flood, CCC-SLP
• Loriann Allaire Ford, MSW, LCSW
• Farrah Latrice Forney, CNM, MSN, RN
• Sophie Fourniquet, MD
• Daija Fowler, MS CCC-SLP
• Kimberly D Fox, M.D.

• Foot & Ankle Surgery Podiatrist in Smithfield, NC
• Providers in Smithfield, 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 Feb 2, 2024; 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.