Individual provider Active NPI

Teddy Manning Musselman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mooresville, NC
National Provider Identifier
1962762344
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
847 Issued in NC
Practice address
143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244
Phone
(704) 662-3595
Fax
(704) 662-3595
NPI assigned
May 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO3955 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 847 NC Primary

Addresses

Primary practice location

143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244

Mailing address

143 Joe Knox Ave Ste 100
Mooresville, NC 28117-9244
Phone (704) 662-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180321001910 FL Practitioner - Podiatry 8921313222 Reassigns benefits to 1 organization
I20240701002702 NC Practitioner - Podiatry 8921313222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates PLLCGroup PAC ID 5991742074, 15 clinicians

Practice addresses (Care Compare)

143 Joe Knox Ave
Suite 100
Mooresville, NC 28117-9244
Phone (704) 360-1102

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.34 of 100Reported as group
Quality
42.08
Promoting interoperability
79
Improvement activities
20

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue174
Removal of skin lesions36
Removal of nail tissue187
Removal or shaving of skin growth143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
847NCMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Foot & Ankle Associates PLLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Single Specialty Current Accepting new patients
University of Florida Jacksonville Physicians Inc Single Specialty CurrentSince Mar 1, 2018 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

15419 Hodges Cir
Ste 200
Huntersville, NC 28078
Phone (704) 360-1102

143 Joe Knox Ave
Ste 100
Mooresville, NC 28117
Phone (704) 662-3660

Interoperability endpoints

  • Direct secure messaging: tmusselman1615669@direct.novanthealth.org
  • Direct secure messaging: tmusselman664457@direct.medicine.duke.edu
  • Direct secure messaging: tmusselman70607@direct.shands.ufl.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: teddymusselman@vfa.allscriptsdirect.net

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 3

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": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1962762344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179244",
            "telephone_number": "704-662-3660",
            "fax_number": "704-662-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 JOE KNOX AVE STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179244",
            "telephone_number": "704-662-3595",
            "fax_number": "704-662-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "TEDDY",
        "middle_name": "MANNING",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-20",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3955",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.