Magee Family Footcare PLLC – Foot Surgery Podiatrist

Key facts

NPI: 1801064290
Entity type: Organization (NPI type 2)
Primary specialty: Foot Surgery Podiatrist 213ES0131X
License: 80174 (MS)
Legal business name: MAGEE FAMILY FOOTCARE PLLC
Practice address: 1663 Simpson Hwy 49
Ste 1
Magee, MS 39111
Phone: (601) 849-0444
Fax: (601) 849-0404
NPI assigned: Feb 19, 2008
Organization subpart: No

Authorized official

Name: Dr. Denver L. Carter III, DPM NPI 1497827695
Title: Owner/DPM
Phone: (601) 849-0444

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

Practitioners 2

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

Denver L Carter III, DPM DOCTOR OF PEDIAT Podiatrist · Magee, MS · NPI 1497827695

Medicare reassignment NPD Authorized official MS · PODIATRIST
Tyler Cole Floyd, DPM Foot & Ankle Surgery Podiatrist · Clermont, FL · NPI 1770088965

Medicare reassignment NPD FOOT & ANKLE SURGERY · MS

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in MS

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20050228000797	MS	Part B Supplier - Clinic/Group Practice	3678526852	Receives reassigned benefits from 2 practitioners Practice locations: Magee, MS
O20100930035029	MS	DME Supplier - Physician - Podiatry	3678526852	Practice locations: Magee, MS

National Provider Directory

Locations

1663 Simpson Highway 49
#1
Magee, MS 39111
Phone (601) 849-0444

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Foot Surgery Podiatrist Group: 193400000X SINGLE SPECIALTY GROUP	213ES0131X	80174	MS	Yes

Addresses

Primary practice location

1663 Simpson Hwy 49
Ste 1
Magee, MS 39111

Mailing address

1663 Simpson Hwy 49
Ste 1
Magee, MS 39111
Phone (601) 849-0444

Other providers in Magee, MS

All providers in Magee, MS · Foot Surgery Podiatrist in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.