1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Podiatrist
  6. NPI Profile

ADVANCED FOOT CARE CENTER
NPI 1497957120
Podiatrist - Primary Podiatric Medicine in Jackson, MS

Active since June 04, 2007
4510 OFFICE PARK DR, JACKSON, MS 39206(601) 981-3001(601) 981-8999 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Foot Care Center NPPES

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

ADVANCED FOOT CARE CENTER (NPI 1497957120) is a healthcare organization registered as a primary podiatric medicine in Jackson, Mississippi and active in the NPI registry since June 2007. The organization lists Larry R Cruel, Podiatrist Owner, as its authorized official.

NPPES Registry Identity

NPI1497957120
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameADVANCED FOOT CARE CENTER
Location Address4510 OFFICE PARK DRJackson, MS 39206-6016
Mailing Address4510 Office Park DrJackson, MS 39206-6016 · (601) 981-3001 · Fax (601) 981-8999
Phone(601) 981-3001
Fax(601) 981-8999
Organization SubpartNo
Authorized OfficialLarry R CruelPodiatrist Owner · (601) 981-3001
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 19, 2008
✔ NPI 1497957120 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 MS · 80152
4510 OFFICE PARK DR, Jackson, MS 39206
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC1285450001MS
Medicaid09274794MS

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

Other Providers at the Same Location NPPES 6

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

BLANCHE MAE BELL ARNP
Nurse Practitioner (Family)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (225) 433-3172
BELLA-ROUGE HEALTH CARE INC
Clinic/Center (Health Service)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (225) 433-3172
FONDREN HEALTH CLINIC
Clinic/Center (Primary Care)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (601) 624-3352
ON DEMAND MEDICAL TESTING II
Clinic/Center
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (601) 966-5601
DR. LARRY K CRUEL DPM
Podiatrist (Primary Podiatric Medicine)
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (601) 981-3001
INTERVENE ONE DIAGNOSTICS LLC
Clinical Medical Laboratory
4510 OFFICE PARK DR
JACKSON, MS 39206
Hinds County (662) 834-3432

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 Advanced Foot Care Center's NPI number?

The NPI number for Advanced Foot Care Center is 1497957120. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Advanced Foot Care Center located?

Advanced Foot Care Center is located at 4510 Office Park Dr, Jackson, MS 39206. The listed phone number is (601) 981-3001.

What is Advanced Foot Care Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Foot Care Center was last updated on August 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.