Palmetto Foot Clinic Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

584 Issued in SC

Legal business name

PALMETTO FOOT CLINIC INC

Practice address

841 Robertson Blvd
Walterboro, SC 29488-3082

Phone

(843) 549-1800

Fax

(843) 549-1818

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lance A Sims, DPMNPI 1306021654

Title

Physician/Owner

Phone

(843) 549-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Palmetto Foot Clinic

  • Podiatrist
  • Walterboro, SC
  • NPI 1114180825

  2466528278

  Same PAC ID

Tax ID family

Palmetto Foot Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Palmetto Foot Clinic

  • Podiatrist
  • Walterboro, SC
  • NPI 1114180825
  NPD tax ID

Practitioners 1

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

• Lance Austen Sims, DPM

  • Foot & Ankle Surgery Podiatrist
  • Walterboro, SC
  • NPI 1306021654
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1851543391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883082",
            "telephone_number": "843-549-1800",
            "fax_number": "843-549-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883082",
            "telephone_number": "843-549-1800",
            "fax_number": "843-549-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FOOT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "843-549-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5845",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara A Ott, APRN
• Rebecca Owsley
• P. Spencer Witkin D.M.D. LLC
• Palmetto Cardiology and Vein
• Palmetto Foot Clinic
• Palmetto Primary Care Physicians, LLC
• Palmetto Vision
• Walter Raphael Pangalangan, PT
• Regina Lynn Parker, CPSS, SAS
• Hemali Patel

• Foot & Ankle Surgery Podiatrist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.