PROVIDENCE FOOT & ANKLE CENTERS PC (NPI# 1356598593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356598593 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE FOOT & ANKLE CENTERS PC |
| Practice Address |
1110 Marshall Rd Wellness Center Greenwood SC 29646-4216 |
| Mailing Address |
3886 Princeton Lakes Way Sw Suite 140a Atlanta GA 30331-5511 |
| Practice Telephone | 8668963338 |
| Practice Fax Number | 7707904752 |
| Mailing Telephone | 7707454224 |
| Mailing Fax Number | 7707904752 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DR. ADRIENNE M. ATKINSON-SNEED (CEO) |
| Authorized Official Telephone | 7707454224 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDENCE FOOT & ANKLE CENTERS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE GROUP PTAN FOR SC (PALMETTO GBA) | 9277 | 01 |
| SC | MEDICARE RR (PALMETTO GBA) SC | DQ9090 | 01 |
| SC | DME (PALMETTO GBA NSC) GROUP PTAN | PENDING | 01 |
| Street Address |
1110 MARSHALL RD WELLNESS CENTER |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760456 | Wesley Commons | Skilled Nursing Facility | 1110 Marshall Rd, Greenwood, SC 29646 | 2005-06-16 |
| 1821560228 | Troy Lewis | Physical Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2018-12-23 |
| 1326515727 | Jenevieve Lackey | Physical Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2018-10-24 |
| 1962922039 | Gait Medical LLC | Podiatrist | 1110 Marshall Rd, Wellness Center-podiatry, Greenwood, SC 29646 | 2017-06-21 |
| 1497291918 | Katie Johnson Broyles | Speech-Language Pathologist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2017-01-08 |
| 1427267970 | Connie Elaine Burkhalter | Occupational Therapy Assistant | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-05-22 |
| 1609085166 | Aubrey Elizabeth Shields | Occupational Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-05-22 |
| 1518185479 | Dortlies Helene Releford | Rehabilitation Practitioner | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1497762819 | Irene Erica Roge | Podiatrist | 1558 Victoria Ct, Greenwood, IN 46143-7884 | 2006-08-01 |
| 1962471417 | Greenwood Leflore Hospital | Podiatrist | 309 W Church St, Greenwood, MS 38930-4305 | 2006-03-16 |
| 1427051291 | Michael C Carroll | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2005-05-24 |
| 1962922039 | Gait Medical LLC | Podiatrist | 1110 Marshall Rd, Wellness Center-podiatry, Greenwood, SC 29646 | 2017-06-21 |
| 1730101072 | Wendy Sue Winckelbach | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2006-07-24 |
| 1356302137 | J Karl Winckelbach | Podiatrist | 33 E County Line Rd, Ste B, Greenwood, IN 46143-1043 | 2006-03-31 |
| 1699734855 | Preston Boles | Podiatrist | 309 W Church St, Greenwood, MS 38930-4305 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
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| 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.