Organization Active NPI

Magee Family Footcare PLLC

  • Foot Surgery Podiatrist
  • Magee, MS
National Provider Identifier
1801064290
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80174 Issued in 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
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

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

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 Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 80174 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

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

402 5th Ave SW
Ste 1
Magee, MS 39111
Phone (601) 849-0444

Practitioners & affiliated clinicians

Practitioners 2

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": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1801064290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 SIMPSON HWY 49",
            "address_2": "STE 1",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-849-0444",
            "fax_number": "601-849-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 SIMPSON HWY 49",
            "address_2": "STE 1",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-849-0444",
            "fax_number": "601-849-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGEE FAMILY FOOTCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DENVER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/DPM",
        "authorized_official_telephone_number": "601-849-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.