Active NPI
Physicians Footcare Orangeburg LLC
- Foot & Ankle Surgery Podiatrist
- Orangeburg, SC
National Provider Identifier
1689683666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 570
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF2229 | Other | SC | RETIRED RAILROAD MEDICARE |
Other names 1
- Carolina Foot Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061005000148 | SC | Part B Supplier - Clinic/Group Practice | 9931105509 | Practice locations: Orangeburg, SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Orangeburg, SC
- NPI 1508814047
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.