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PERSONAL FOOTCARE LLC
NPI 1487613030
Podiatrist - Primary Podiatric Medicine in Petersburg, VA

Active since March 22, 2006
2020 WAKEFIELD AVE, PETERSBURG, VA 23805(804) 732-1211(804) 733-5946 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Personal Footcare Llc NPPES

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

PERSONAL FOOTCARE LLC (NPI 1487613030) is a healthcare organization registered as a primary podiatric medicine in Petersburg, Virginia and active in the NPI registry since March 2006. The organization maintains a secondary practice location in South Hill and lists Samuel Winfred Person, President, as its authorized official.

NPPES Registry Identity

NPI1487613030
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NamePERSONAL FOOTCARE LLC
Location Address2020 WAKEFIELD AVEPetersburg, VA 23805-2112
Mailing Address2020 Wakefield AvePetersburg, VA 23805-2112 · (804) 732-1211 · Fax (804) 733-5946
Phone(804) 732-1211
Fax(804) 733-5946
Organization SubpartNo
Authorized OfficialSamuel Winfred PersonPresident · (804) 732-1211
Enumeration DateMarch 22, 2006
Last NPPES UpdateMay 18, 2024
NPPES CertifiedMay 18, 2024
✔ NPI 1487613030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in VA · 0103000377
2020 WAKEFIELD AVE, Petersburg, VA 23805
Open in Google Maps ↗

Secondary Practice Location 1

Location 1420 Durant StSouth Hill, VA 23970-1614 · Phone (434) 447-6988

Other Identifiers 3

Medicaid30015890910001VA
Medicaid009331409VT
Medicaid30015176580001VA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Personal Footcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Personal Footcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Samuel Person, D.P.M.
Podiatry
NPI 1154324879
2020 WAKEFIELD AVE
Petersburg, VA 23805
(804) 732-1211
✔ PECOSSame address
Carlos Myers, DPM
Podiatry
NPI 1790210664
1618 HARDY CASH DR
Hampton, VA 23666
(757) 825-5783
✔ PECOS✔ Accepts Medicare55 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 Personal Footcare LLC's NPI number?

The NPI number for Personal Footcare LLC is 1487613030. It was assigned to this organization in the NPPES registry on March 22, 2006.

Where is Personal Footcare LLC located?

Personal Footcare LLC is located at 2020 Wakefield Ave, Petersburg, VA 23805. The listed phone number is (804) 732-1211.

What is Personal Footcare LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Personal Footcare LLC enrolled in Medicare?

Yes. Personal Footcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Personal Footcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Personal Footcare LLC. 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 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 Personal Footcare LLC was last updated on May 18, 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.