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CAROLINA FOOT CARE LLC
NPI 1104028810
Podiatrist in Spartanburg, SC

Active since June 04, 2007
1399 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306(864) 595-9300(864) 595-9400 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Foot Care Llc NPPES

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

CAROLINA FOOT CARE LLC (NPI 1104028810) is a healthcare organization registered as a podiatrist in Spartanburg, South Carolina and active in the NPI registry since June 2007. The organization lists Michael J Jordan, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1104028810
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCAROLINA FOOT CARE LLC
Location Address1399 JOHN B WHITE SR BLVDSpartanburg, SC 29306-3911
Mailing Address1399 John B White Sr BlvdSpartanburg, SC 29306-3911
Phone(864) 595-9300
Fax(864) 595-9400
Organization SubpartNo
Authorized OfficialMichael J JordanPodiatrist · (864) 595-9300
Enumeration DateJune 4, 2007
Last NPPES UpdateMay 7, 2008
✔ NPI 1104028810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
1399 JOHN B WHITE SR BLVD, Spartanburg, SC 29306
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Other Identifiers 1

Medicare NSC5344820001SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Foot Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michael Jordan, DPM
Podiatry
NPI 1295724839
1399 JOHN B WHITE SR BLVD
Spartanburg, SC 29306
(864) 595-9300
✔ PECOS✔ Accepts MedicareSame address
Sarah Jordan, DPM
Podiatry
NPI 1285623827
1399 JOHN B WHITE SR BLVD
Spartanburg, SC 29306
(864) 595-9300
✔ 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 Carolina Foot Care LLC's NPI number?

The NPI number for Carolina Foot Care LLC is 1104028810. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Carolina Foot Care LLC located?

Carolina Foot Care LLC is located at 1399 John B White Sr Blvd, Spartanburg, SC 29306. The listed phone number is (864) 595-9300.

What is Carolina Foot Care LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Carolina Foot Care LLC enrolled in Medicare?

Yes. Carolina Foot Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Foot Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Carolina Foot Care LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carolina Foot Care LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Carolina Foot Care LLC 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 Carolina Foot Care LLC was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.