SOUTHERN PODIATRY FOOT AND ANKLE, PLLC
NPI 1497984397
Podiatrist - Foot Surgery in Madison, AL

Active since July 13, 2009
8000 MADISON BLVD STE D102-341, MADISON, AL 35758(312) 752-7713 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Podiatry Foot And Ankle, Pllc NPPES

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

SOUTHERN PODIATRY FOOT AND ANKLE, PLLC (NPI 1497984397) is a healthcare organization registered as a foot surgery in Madison, Alabama and active in the NPI registry since July 2009. The organization lists Elyse N Tiller, Cpcs, as its authorized official.

NPPES Registry Identity

NPI1497984397
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameSOUTHERN PODIATRY FOOT AND ANKLE, PLLC
Location Address8000 MADISON BLVD STE D102-341Madison, AL 35758-2031
Mailing Address1311 Grandeview Blvd Apt 1928Huntsville, AL 35824-2408 · (312) 752-7713
Organization SubpartNo
Authorized OfficialElyse N TillerCpcs · (615) 956-7919
Enumeration DateJuly 13, 2009
Last NPPES UpdateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1497984397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in AL · 299
8000 MADISON BLVD STE D102-341, Madison, AL 35758

Other Identifiers 2

Other510-49599AL · Bcbsal
Medicaid112600AL

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)

Southern Podiatry Foot And Ankle, Pllc 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 Southern Podiatry Foot And Ankle, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1518162858
1060 GRANDVIEW BLVD SUITE 623
Huntsville, AL 35824
(312) 752-7713
✔ PECOS✔ Accepts Medicare1.6 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 Southern Podiatry Foot And Ankle, PLLC's NPI number?

The NPI number for Southern Podiatry Foot And Ankle, PLLC is 1497984397. It was assigned to this organization in the NPPES registry on July 13, 2009.

Where is Southern Podiatry Foot And Ankle, PLLC located?

Southern Podiatry Foot And Ankle, PLLC is located at 8000 Madison Blvd Ste D102-341, Madison, AL 35758. The listed phone number is (312) 752-7713.

What is Southern Podiatry Foot And Ankle, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Southern Podiatry Foot And Ankle, PLLC enrolled in Medicare?

Yes. Southern Podiatry Foot And Ankle, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Podiatry Foot And Ankle, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Southern Podiatry Foot And Ankle, PLLC. 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.

When was this NPI record last updated?

The NPPES record for Southern Podiatry Foot And Ankle, PLLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.