NPIMap

Individual provider Active NPI

Kevin C McDonald, DPM

  • Primary Podiatric Medicine Podiatrist
  • Concord, NC
National Provider Identifier
1992810717
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
443 Issued in NC
Practice address
1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone
(704) 786-4482
Fax
(704) 786-0604
NPI assigned
Aug 20, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 443 NC
Foot Surgery Podiatrist 213ES0131X 443 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 443 NC Primary

Addresses

Primary practice location

1022 Lee Ann Dr NE
Concord, NC 28025-2911

Mailing address

1022 Lee-Ann Drive NE
Concord, NC 28025
Phone (704) 886-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810001071 NC Practitioner - Podiatry 0143259572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1022 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 786-4482

130 Lake Concord Rd NE
Suite B
Concord, NC 28025-1906
Phone (704) 786-4482

1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone (919) 850-9111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions22
Removal of nail tissue391
Removal or shaving of skin growth135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
577GAMDClinical Psychologist
443NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Primary Podiatric Medicine CurrentSince Jul 15, 2025 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Feb 13, 2012 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery Current Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Jul 15, 2025 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Nov 1, 2012 Accepting new patients
Queen City Foot and Ankle Specialists Current Accepting new patients
Family Foot Care of Statesboro Foot & Ankle Surgery Past Accepting new patients

Locations

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

6602 Roberta Rd
Harrisburg, NC 28075
Phone (704) 454-5558

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Interoperability endpoints

  • Direct secure messaging: kevin.mcdonald@ifasp.eclinicaldirectplus.com

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1992810717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 LEE-ANN DRIVE NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-886-1918",
            "fax_number": "704-257-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 LEE ANN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-786-4482",
            "fax_number": "704-786-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "443",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "443",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.