SOUTHEASTERN FOOT & ANKLE ASSOCIATES, PA
NPI 1154450393
Clinic/Center - Podiatric in Wilmington, NC
About Southeastern Foot & Ankle Associates, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN FOOT & ANKLE ASSOCIATES, PA (NPI 1154450393) is a healthcare organization registered as a podiatric in Wilmington, North Carolina and active in the NPI registry since March 2007. The organization lists Robert Mcconekey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Southeastern Foot & Ankle Associates, Pa 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 Southeastern Foot & Ankle Associates, PA, 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 Southeastern Foot & Ankle Associates, PA's NPI number?
The NPI number for Southeastern Foot & Ankle Associates, PA is 1154450393. It was assigned to this organization in the NPPES registry on March 5, 2007.
Where is Southeastern Foot & Ankle Associates, PA located?
Southeastern Foot & Ankle Associates, PA is located at 920 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 763-7578.
What is Southeastern Foot & Ankle Associates, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Southeastern Foot & Ankle Associates, PA enrolled in Medicare?
Yes. Southeastern Foot & Ankle Associates, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Foot & Ankle Associates, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Southeastern Foot & Ankle Associates, PA. 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.
What insurance does Southeastern Foot & Ankle Associates, PA accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Southeastern Foot & Ankle Associates, PA 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 Southeastern Foot & Ankle Associates, PA was last updated on August 30, 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.
# Southeastern Foot & Ankle Associates, Pa · NPI 1154450393
Podiatric organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1154450393 (Entity type: Organization)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Robert Mcconekey, OWNER
## Practice location
- **Address:** 920 S 17TH ST, Wilmington, NC 28401-8022
- **Phone:** (910) 763-7578 · **Fax:** (910) 763-9320
## 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 30, 2013
- **Other identifiers:** Medicaid 890808U (NC); Other 2332798 (NC); Medicare UPIN U94592 (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1154450393) · Data from the CMS NPPES public registry.