Organization Active NPI

Foot & Ankle Institute of the Carolinas, PA

  • Foot & Ankle Surgery Podiatrist
  • Rocky Mount, NC
National Provider Identifier
1821255001
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
96 Issued in NC
Legal business name
FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA
Practice address
3301 Sunset Ave
Rocky Mount, NC 27804-3521
Phone
(252) 443-7114
Fax
(252) 443-7115
NPI assigned
May 16, 2008
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Beverly Warren
Title
Practice Manager
Phone
(252) 443-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 96 NC Primary

Addresses

Primary practice location

3301 Sunset Ave
Rocky Mount, NC 27804-3521

Mailing address

3301 Sunset Ave
Rocky Mount, NC 27804-3521
Phone (252) 443-7114

Other identifiers 1

IdentifierTypeStateIssuer
8908144MedicaidNC

Other names 1

  • Carl G Purvis DPM PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000462 NC Part B Supplier - Clinic/Group Practice 6901975606 Receives reassigned benefits from 2 practitioners
Practice locations: Rocky Mount, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dr Carl G Purvis3 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.

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1821255001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043521",
            "telephone_number": "252-443-7114",
            "fax_number": "252-443-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043521",
            "telephone_number": "252-443-7114",
            "fax_number": "252-443-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE INSTITUTE OF THE CAROLINAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "252-443-7114"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl G Purvis DPM PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 14, 2025; 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.