Organization Active NPI

Physicians Footcare Orangeburg LLC

  • Foot & Ankle Surgery Podiatrist
  • Orangeburg, SC
National Provider Identifier
1689683666
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
570 Issued in SC
Legal business name
PHYSICIANS FOOTCARE ORANGEBURG LLC
Practice address
718 Broughton St
Orangeburg, SC 29115
Phone
(803) 531-2888
Fax
(803) 531-2813
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Kevin L. Ray
Title
Ceo
Phone
(803) 531-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 570 SC Primary

Addresses

Primary practice location

718 Broughton St
Orangeburg, SC 29115

Mailing address

718 Broughton St
Orangeburg, SC 29115-6648
Phone (803) 531-2888

Other identifiers 1

IdentifierTypeStateIssuer
DF2229OtherSCRETIRED RAILROAD MEDICARE

Other names 1

  • Carolina Foot Institute Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061005000148 SC Part B Supplier - Clinic/Group Practice 9931105509 Practice locations: Orangeburg, SC

National Provider Directory

National Provider Directory

Locations

150 Highland Center Dr
Columbia, SC 29203
Phone (803) 256-6776

477 Dantzler St
Orangeburg, SC 29115
Phone (803) 531-2888

11790 Baron Cameron Ave
Ste H
Reston, VA 20190
Phone (917) 405-7881

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1689683666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156648",
            "telephone_number": "803-531-2888",
            "fax_number": "803-531-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-531-2888",
            "fax_number": "803-531-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOOTCARE ORANGEBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-531-2888"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "DF2229",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Foot Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.