DESOTO FOOT CARE
NPI 1073557799
Clinic/Center - Podiatric in Olive Branch, MS

Active since June 15, 2006
9065 SANDIDGE CENTER COVE, STE C, OLIVE BRANCH, MS 38654(662) 893-0533(662) 985-6821 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2020, Nov 12, 2015 (2 updates tracked since 2015).

About Desoto Foot Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESOTO FOOT CARE (NPI 1073557799) is a healthcare organization registered as a podiatric in Olive Branch, Mississippi and active in the NPI registry since June 2006. The organization lists Carla Arnette Martin, Podtiatrist, as its authorized official.

NPPES Registry Identity

NPI1073557799
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NamePRIME FOOT CARE, PLLC
Location Address9065 SANDIDGE CENTER COVE, STE COlive Branch, MS 38654-3574
Mailing Address9065 Sandidge Center Cove, Ste COlive Branch, MS 38654-3574 · (662) 893-0533 · Fax (662) 890-5676
Fax(662) 985-6821
Organization SubpartNo
Authorized OfficialCarla Arnette MartinPodtiatrist · (662) 893-0533
Enumeration DateJune 15, 2006
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
✔ NPI 1073557799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in MS · 80159
9065 SANDIDGE CENTER COVE, Olive Branch, MS 38654

Other Names 1

Doing Business AsDesoto Foot Care

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desoto Foot Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20140813000415Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Desoto Foot Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1255513230
9065 SANDIDGE CENTER CV. SUITE C
Olive Branch, MS 38654
(662) 893-0533
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Foot Care, PLLC's NPI number?

The NPI number for Prime Foot Care, PLLC is 1073557799. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Desoto Foot Care.

Where is Prime Foot Care, PLLC located?

Prime Foot Care, PLLC is located at 9065 Sandidge Center Cove Ste C, Olive Branch, MS 38654. The listed phone number is (662) 893-0533.

What is Prime Foot Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Prime Foot Care, PLLC enrolled in Medicare?

Yes. Prime Foot Care, PLLC is registered in the Medicare PECOS enrollment system.

When is Prime Foot Care, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prime Foot Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Prime Foot Care, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prime Foot Care, PLLC was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.