Individual provider Active NPI

Christine Camille Palma, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
National Provider Identifier
1932696754
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
326818 Issued in LA
Practice address
501 Dr. Michael Debakey Dr.
Credentialing
Lake Charles, LA 70601
Phone
(337) 312-8120
Fax
(337) 312-8121
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 326818 LA Primary

Addresses

Primary practice location

501 Dr. Michael Debakey Dr.
Credentialing
Lake Charles, LA 70601

Mailing address

501 Dr. Michael Debakey Dr.
Credentialing
Lake Charles, LA 70601
Phone (337) 312-8528

Other identifiers 1

IdentifierTypeStateIssuer
2561901MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308001453 AL Practitioner - Podiatry 7911309737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

2057 Valleydale Rd
Suite 109
Hoover, AL 35244-2707
Phone (205) 822-8038

4109 Cogswell Ave
Pell City, AL 35125-2607
Phone (205) 814-1234

Hospital & facility affiliations

  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue760
Removal or shaving of skin growth173
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
326818LAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Apr 1, 2024 Accepting new patients
Vital Path Care PC Foot & Ankle Surgery CurrentSince Feb 24, 2025 Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

2057 Valleydale Rd
Ste 109
Hoover, AL 35244
Phone (205) 822-8038

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

4109 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1234

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: christine.palma.1@4399.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1932696754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR. MICHAEL DEBAKEY DR.",
            "address_2": "CREDENTIALING",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-312-8528",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DR. MICHAEL DEBAKEY DR.",
            "address_2": "CREDENTIALING",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-312-8120",
            "fax_number": "337-312-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "CHRISTINE",
        "middle_name": "CAMILLE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "326818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561901",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.