PROFESSIONAL FOOT AND ANKLE CENTERS, PC
NPI 1104025220
Podiatrist - Foot & Ankle Surgery in Davison, MI
About Professional Foot And Ankle Centers, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL FOOT AND ANKLE CENTERS, PC (NPI 1104025220) is a healthcare organization registered as a foot & ankle surgery in Davison, Michigan and active in the NPI registry since July 2007. The organization lists Mark R Williams, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Professional Foot And Ankle Centers, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Professional Foot And Ankle Centers, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Professional Foot And Ankle Centers, PC's NPI number?
The NPI number for Professional Foot And Ankle Centers, PC is 1104025220. It was assigned to this organization in the NPPES registry on July 18, 2007.
Where is Professional Foot And Ankle Centers, PC located?
Professional Foot And Ankle Centers, PC is located at 605 S State Rd, Davison, MI 48423. The listed phone number is (810) 653-9060.
What is Professional Foot And Ankle Centers, PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Professional Foot And Ankle Centers, PC enrolled in Medicare?
Yes. Professional Foot And Ankle Centers, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Foot And Ankle Centers, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Professional Foot And Ankle Centers, PC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Professional Foot And Ankle Centers, PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Professional Foot And Ankle Centers, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Professional Foot And Ankle Centers, PC was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Professional Foot And Ankle Centers, Pc · NPI 1104025220
Foot & Ankle Surgery organization in Davison, Michigan. Organization record, active in the CMS NPPES registry since July 18, 2007.
## Identity
- **NPI:** 1104025220 (Entity type: Organization)
- **Enumerated:** July 18, 2007
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Mark Williams, PROVIDER
## Practice location
- **Address:** 605 S STATE RD, Davison, MI 48423-1515
- **Phone:** (810) 653-9060 · **Fax:** (810) 658-2248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2013
- **Other identifiers:** Medicaid 4632598 (MI); Medicare NSC 5157260001 (MI); Medicare PIN 0N88250 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104025220) · Data from the CMS NPPES public registry.