Active NPI
Foot & Ankle Associates of North Carolina, PLLC
- Foot & Ankle Surgery Podiatrist
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC
- Practice address
- 740 Sutters Creek Blvd
Rocky Mount, NC 27804-8429 - Phone
- (252) 451-4040
- Fax
- (252) 451-8040
- NPI assigned
- Oct 10, 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
- Dr. Clarence Stewart, DPM
- Title
- Partner
- Phone
- (919) 231-7969
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
740 Sutters Creek Blvd
Rocky Mount, NC 27804-8429
Mailing address
PO Box 14759
Raleigh, NC 27620-4759
Phone (919) 231-7969
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK8360 | Other | NC | PALMETTO GBA-RAILROAD ME |
| 0809W | Other | NC | BLUE CROSS BLUE SHEILD GP |
| 690187E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 3
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1659543833
2365497385
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1659543833
O20220525000582
National Provider Directory
National Provider DirectoryLocations
1202 Dr Martin Luther King Jr Dr N
Ahoskie, NC 27910
Phone (252) 862-4300
320 Veterans Pkwy
Ste 100
Clayton, NC 27520
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
- NPI 1669458915
-
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
- NPI 1962488759
-
- Foot & Ankle Surgery Podiatrist
- Tarboro, NC
- NPI 1063498301
-
- Foot & Ankle Surgery Podiatrist
- Sanford, NC
- NPI 1619609021
-
- Foot & Ankle Surgery Podiatrist
- Rocky Mount, NC
- NPI 1487630125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1790873503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14759",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276204759",
"telephone_number": "919-231-7969",
"fax_number": "919-231-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 SUTTERS CREEK BLVD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048429",
"telephone_number": "252-451-4040",
"fax_number": "252-451-8040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "CLARENCE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "919-231-7969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD ME",
"identifier": "CK8360",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD GP",
"identifier": "0809W",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "690187E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.