ATLANTIC FOOT SPECIALISTS PLLC
NPI 1114105541
Podiatrist - Foot Surgery in Shallotte, NC

Active since February 07, 2008
4428 MAIN ST, SHALLOTTE, NC 28470(910) 755-3338 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlantic Foot Specialists Pllc NPPES

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

ATLANTIC FOOT SPECIALISTS PLLC (NPI 1114105541) is a healthcare organization registered as a foot surgery in Shallotte, North Carolina and active in the NPI registry since February 2008. The organization lists Bryan C Satterwhite, Owner, as its authorized official.

NPPES Registry Identity

NPI1114105541
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameATLANTIC FOOT SPECIALISTS, PLLC
Location Address4428 MAIN STShallotte, NC 28470-4450
Mailing Address4428 Main StShallotte, NC 28470-4450 · (910) 755-3338
Organization SubpartNo
Authorized OfficialBryan C SatterwhiteOwner · (910) 755-3338
Enumeration DateFebruary 7, 2008
Last NPPES UpdateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1114105541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NC · 432
4428 MAIN ST, Shallotte, NC 28470

Other Names 1

Doing Business AsAtlantic Foot Specialists Pllc

Other Identifiers 1

Medicaid890804VNC

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

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)

Atlantic Foot Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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
StateNorth CarolinaEnrollment IDO20211201001340Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Podiatry
NPI 1952387342
4428 MAIN ST
Shallotte, NC 28470
(910) 755-3338
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1346291325
4428 MAIN ST
Shallotte, NC 28470
(910) 755-3338
✔ 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 Atlantic Foot Specialists, PLLC's NPI number?

The NPI number for Atlantic Foot Specialists, PLLC is 1114105541. It was assigned to this organization in the NPPES registry on February 7, 2008. The provider is doing business as Atlantic Foot Specialists PLLC.

Where is Atlantic Foot Specialists, PLLC located?

Atlantic Foot Specialists, PLLC is located at 4428 Main St, Shallotte, NC 28470. The listed phone number is (910) 755-3338.

What is Atlantic Foot Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Atlantic Foot Specialists, PLLC enrolled in Medicare?

Yes. Atlantic Foot Specialists, PLLC is registered in the Medicare PECOS enrollment system.

When is Atlantic Foot Specialists, 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 (North Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Atlantic Foot Specialists, PLLC?

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

When was this NPI record last updated?

The NPPES record for Atlantic Foot Specialists, PLLC was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.