Organization Active NPI

Premier Foot & Ankle Specialists

  • Podiatrist
  • Monroe, NC
National Provider Identifier
1902596448
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREMIER FOOT & ANKLE SPECIALISTS
Practice address
3306 W Highway 74 Ste K
Monroe, NC 28110-8695
Phone
(704) 624-7090
Fax
(704) 624-7029
NPI assigned
May 9, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Shalanda HallNPI 1609368117
Title
Owner
Phone
(704) 624-7090

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3306 W Highway 74 Ste K
Monroe, NC 28110-8695

Mailing address

PO Box 25
Marshville, NC 28103-0025
Phone (704) 624-7090

Other practice location 1

119 E Union St
Marshville, NC 28103-1142
Phone (704) 624-7090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230905000190 NC Part B Supplier - Clinic/Group Practice 6800259151 Receives reassigned benefits from 1 practitioner
Practice locations: Marshville, NC; Monroe, NC

National Provider Directory

National Provider Directory

Locations

3306 W Highway 74
Ste K
Monroe, NC 28110

907 Fitzgerald St
Monroe, NC 28112
Phone (704) 226-0531

Practitioners & affiliated clinicians

Practitioners 4

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1902596448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281030025",
            "telephone_number": "704-624-7090",
            "fax_number": "704-624-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W HIGHWAY 74 STE K",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108695",
            "telephone_number": "704-624-7090",
            "fax_number": "704-624-7029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Union St",
            "address_purpose": "LOCATION",
            "city": "Marshville",
            "state": "NC",
            "postal_code": "281031142",
            "country_code": "US",
            "telephone_number": "704-624-7090",
            "fax_number": "704-624-7029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHALANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-624-7090"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.