NPIMap

Organization Active NPI

Premier Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Sanford, NC
National Provider Identifier
1699171868
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
609 Issued in NC
Legal business name
PREMIER FOOT & ANKLE PLLC
Practice address
821 S Horner Blvd
Sanford, NC 27330-4224
Phone
(919) 292-1610
NPI assigned
Nov 14, 2014
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Dr. Ronald Talis, DPMNPI 1699936807
Title
President
Phone
(216) 702-4388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 609 NC Primary

Addresses

Primary practice location

821 S Horner Blvd
Sanford, NC 27330-4224

Mailing address

821 S Horner Blvd
Sanford, NC 27330-5359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150729007491 NC Part B Supplier - Clinic/Group Practice 5395059869 Receives reassigned benefits from 8 practitioners
Practice locations: Pinehurst, NC; Sanford, NC; Winston Salem, NC
O20150903000817 NC DME Supplier - Physician - General Practice 5395059869 Practice locations: Sanford, NC

National Provider Directory

National Provider Directory
Tax ID family
Premier Foot Ankle PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

821 S Horner Blvd
Sanford, NC 27330
Phone (919) 292-1610

821 S Horner Blvd
Ste A
Sanford, NC 27330
Phone (917) 554-3921

Practitioners & affiliated clinicians

Practitioners 8

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": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1699171868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304224",
            "telephone_number": "919-292-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "TALIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-702-4388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.