FOOT AND SURGERY CLINIC, INC
NPI 1124479100
Podiatrist - Foot Surgery in Byram, MS
About Foot And Surgery Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOT AND SURGERY CLINIC, INC (NPI 1124479100) is a healthcare organization registered as a foot surgery in Byram, Mississippi and active in the NPI registry since June 2016. The organization lists Versheen Edwards, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Foot And Surgery Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Foot And Surgery Clinic, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Foot And Surgery Clinic, Inc's NPI number?
The NPI number for Foot And Surgery Clinic, Inc is 1124479100. It was assigned to this organization in the NPPES registry on June 30, 2016.
Where is Foot And Surgery Clinic, Inc located?
Foot And Surgery Clinic, Inc is located at 7402 S Siwell Rd Suite 110, Byram, MS 39272. The listed phone number is (601) 372-3222.
What is Foot And Surgery Clinic, Inc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is Foot And Surgery Clinic, Inc enrolled in Medicare?
Yes. Foot And Surgery Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Foot And Surgery Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Foot And Surgery Clinic, Inc. 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 Foot And Surgery Clinic, Inc was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Foot And Surgery Clinic, Inc · NPI 1124479100
Foot Surgery organization in Byram, Mississippi. Organization record, active in the CMS NPPES registry since June 30, 2016.
## Identity
- **NPI:** 1124479100 (Entity type: Organization)
- **Enumerated:** June 30, 2016
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **Organization subpart:** No
- **Authorized official:** Versheen Edwards, PRESIDENT
## Practice location
- **Address:** 7402 S SIWELL RD, SUITE 110, Byram, MS 39272-9386
- **Phone:** (601) 372-3222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2017
- **Other identifiers:** Medicaid 00111109 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1124479100) · Data from the CMS NPPES public registry.