MOBILE WOUNDDR PLLC
NPI 1174251078
Podiatrist in Winter Park, FL

Active since August 10, 2022
955 MINNESOTA AVE, WINTER PARK, FL 32789(248) 915-8986 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 12, 2024, Aug 10, 2022 (2 updates tracked since 2022).

About Mobile Wounddr Pllc NPPES

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

MOBILE WOUNDDR PLLC (NPI 1174251078) is a healthcare organization registered as a podiatrist in Winter Park, Florida and active in the NPI registry since August 2022. The organization lists Channa Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174251078
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMOBILE WOUNDDR PLLC
Location Address955 MINNESOTA AVEWinter Park, FL 32789-4926
Mailing Address955 Minnesota AveWinter Park, FL 32789-4926 · (248) 915-8986
Organization SubpartNo
Authorized OfficialChanna WilliamsCeo · (248) 915-8986
Enumeration DateAugust 10, 2022
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1174251078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
955 MINNESOTA AVE, Winter Park, FL 32789

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mobile Wounddr Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mobile Wounddr PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1508413063
985 STATE ROAD 436
Casselberry, FL 32707
(407) 831-5252
✔ PECOS4.5 mi
General Practice
NPI 1780823252
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts Medicare10 mi
Podiatry
NPI 1285757021
12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828
(321) 235-0692
✔ PECOS✔ Accepts Medicare10 mi

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 Mobile Wounddr PLLC's NPI number?

The NPI number for Mobile Wounddr PLLC is 1174251078. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Mobile Wounddr PLLC located?

Mobile Wounddr PLLC is located at 955 Minnesota Ave, Winter Park, FL 32789. The listed phone number is (248) 915-8986.

What is Mobile Wounddr PLLC's specialty?

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

Is Mobile Wounddr PLLC enrolled in Medicare?

Yes. Mobile Wounddr PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mobile Wounddr PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mobile Wounddr PLLC, in General Practice, Nurse Practitioner and Podiatry. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mobile Wounddr PLLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.