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ACTIVE FOOT AND ANKLE OF CAROLINA PLLC
NPI 1306290648
Durable Medical Equipment & Medical Supplies in Elizabeth City, NC

Active since April 22, 2016
1076 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909(252) 333-3111(252) 333-1105 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Active Foot And Ankle Of Carolina Pllc NPPES

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

ACTIVE FOOT AND ANKLE OF CAROLINA PLLC (NPI 1306290648) is a healthcare organization registered as a durable medical equipment & medical supplies in Elizabeth City, North Carolina and active in the NPI registry since April 2016. The organization maintains a secondary practice location in Elizabeth City and lists Munjed Salem, Owner, as its authorized official.

NPPES Registry Identity

NPI1306290648
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameACTIVE FOOT AND ANKLE OF CAROLINA PLLC
Location Address1076 US HIGHWAY 17 SElizabeth City, NC 27909-7627
Mailing Address632 Cedar Rd Ste BChesapeake, VA 23322-8376 · (757) 547-0123 · Fax (757) 547-2412
Phone(252) 333-3111
Fax(252) 333-1105
Organization SubpartNo
Authorized OfficialMunjed SalemOwner · (252) 333-3111
Enumeration DateApril 22, 2016
Last NPPES UpdateApril 18, 2019
✔ NPI 1306290648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NC · 623
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 623 (NC)
1076 US HIGHWAY 17 S, Elizabeth City, NC 27909
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Secondary Practice Location 1

Location 1905 Halstead Blvd, Ste 13Elizabeth City, NC 27909-6986 · Phone (252) 333-3111

Other Identifiers 1

Medicaid1558681197NC

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Foot And Ankle Of Carolina Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20161215001497DME · Physician - PodiatryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTIVE FOOT AND ANKLE OF CAROLINA PLLC
Podiatrist (Foot Surgery)
1076 US HIGHWAY 17 S
ELIZABETH CITY, NC 27909
Pasquotank County (252) 333-3111

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 Active Foot And Ankle Of Carolina PLLC's NPI number?

The NPI number for Active Foot And Ankle Of Carolina PLLC is 1306290648. It was assigned to this organization in the NPPES registry on April 22, 2016.

Where is Active Foot And Ankle Of Carolina PLLC located?

Active Foot And Ankle Of Carolina PLLC is located at 1076 Us Highway 17 S, Elizabeth City, NC 27909. The listed phone number is (252) 333-3111.

What is Active Foot And Ankle Of Carolina PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Active Foot And Ankle Of Carolina PLLC enrolled in Medicare?

Yes. Active Foot And Ankle Of Carolina PLLC is registered in the Medicare PECOS enrollment system.

When is Active Foot And Ankle Of Carolina PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - Podiatry) is due for revalidation by January 31, 2027. 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.

When was this NPI record last updated?

The NPPES record for Active Foot And Ankle Of Carolina PLLC was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.