CAROLINA COMMONS FOOT & ANKLE SPECIALIST, LLC (NPI# 1568926954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568926954 |
| Entity Type | Organization |
| Organization Name | CAROLINA COMMONS FOOT & ANKLE SPECIALIST, LLC |
| Practice Address |
6237 Carolina Commons Dr Ste 330 Indian Land SC 29707-6014 |
| Practice Telephone | 7049099339 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | DR. EDISON KENT PICKLESIMER (CEO) |
| Authorized Official Telephone | 7049099339 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Street Address |
6237 CAROLINA COMMONS DR STE 330 |
| City | INDIAN LAND |
| State | SC |
| Zip Code | 29707-6014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589834 | Columbia Foot Clinic | Clinic/Center | 1516 Calhoun St, Columbia, SC 29201-2607 | 2006-08-24 |
| 1598717910 | Summerville Footcare Center, Pa | Clinic/Center | 105 N Cedar St, Summerville, SC 29483-6401 | 2006-05-16 |
| 1912525916 | Doctor Jordanna Baker | Clinic/Center | 230 Cherokee Rd, Florence, SC 29501-5225 | 2020-07-07 |
| 1619479342 | Upstate Podiatry Group, Pa | Clinic/Center | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2018-03-08 |
| 1972960722 | Sandhills Foot Clinic | Clinic/Center | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2016-01-25 |
| 1164816211 | Keyoka S Smith Dpm LLC | Clinic/Center | 4100 N Main St Ste 202, Columbia, SC 29203-5800 | 2015-03-26 |
| 1184926750 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 2414 Bull St, Columbia, SC 29201-1906 | 2010-12-02 |
| 1790925634 | Comprehensive Foot Care of Orangeburg | Clinic/Center | 1717 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-03-05 |
| 1578744843 | Carolina Foot Clinic, P.C. | Clinic/Center | 1900 Hampton St, Columbia, SC 29201-3536 | 2007-11-15 |
| City | INDIAN LAND |
| Zip Code | 29707 |
Please comment or provide details below to improve the information on CAROLINA COMMONS FOOT & ANKLE SPECIALIST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.