FOOT AND ANKLE ASSOCIATES OF NC, PLLC
NPI 1518452143
Podiatrist - Foot & Ankle Surgery in Wilson, NC

NPI Status: Active since June 26, 2018

Contact Information

2130 FOREST HILLS RD W STE C
WILSON, NC
ZIP 27893
Phone: (252) 281-4442
Fax: (252) 281-4439

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • CLIA Number: 34D2250012
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-23-2027

About FOOT AND ANKLE ASSOCIATES OF NC, PLLC

This page provides the complete NPI Profile along with additional information for Foot And Ankle Associates Of Nc, Pllc, a provider established in Wilson, North Carolina operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1518452143 assigned on June 2018. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Clarence M Stewart Dpm (Partner/owner)

NPI
1518452143
Provider Name
FOOT AND ANKLE ASSOCIATES OF NC, PLLC
Entity Type
Organization
Location Address
2130 FOREST HILLS RD W STE C WILSON, NC 27893
Location Phone
(252) 281-4442
Location Fax
(252) 281-4439
Mailing Address
PO BOX 14759 RALEIGH, NC 27620
Mailing Phone
(919) 231-7969
Mailing Fax
(252) 281-4439
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2018
Last Update Date
03-14-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLARENCE M STEWART DPM

Authorized Official Title
PARTNER/OWNER
Authorized Official Phone
(919) 231-7969

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2250012
Facility Type
Physician Office
Certificate Effective Date
January 24, 2025
Certificate Expiration Date
January 23, 2027
Laboratory Director
DR. JEEHONG KHYM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Foot And Ankle Associates Of Nc, Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518452143
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252885418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 8 + 5 + 4 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1518452143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518452143, enumerated in the NPI registry as an "organization" on June 26, 2018

The provider is located at 2130 Forest Hills Rd W Ste C Wilson, Nc 27893 and the phone number is (252) 281-4442

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider's CLIA number is 34D2250012 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 26, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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