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JOHN ALLEN SHOES
NPI 1528116530
Durable Medical Equipment & Medical Supplies - Customized Equipment in Fayetteville, NC

Active since January 08, 2007
214 OWEN DR, FAYETTEVILLE, NC 28304(910) 484-3161(910) 485-6296 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Allen Shoes NPPES

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

JOHN ALLEN SHOES (NPI 1528116530) is a healthcare organization registered as a customized equipment in Fayetteville, North Carolina and active in the NPI registry since January 2007. The organization lists Larry Koonce, Owner, as its authorized official.

NPPES Registry Identity

NPI1528116530
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSUMMERS AND KOONCE INC
Location Address214 OWEN DRFayetteville, NC 28304-3414
Mailing Address214 Owen DrFayetteville, NC 28304-3414 · (910) 484-3161 · Fax (910) 485-6296
Phone(910) 484-3161
Fax(910) 485-6296
Organization SubpartNo
Authorized OfficialLarry KoonceOwner · (910) 484-3161
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528116530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in NC · 332BC3200X
214 OWEN DR, Fayetteville, NC 28304
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Other Names 1

Doing Business AsJohn Allen Shoes

Other Identifiers 1

Other045A2NC · Bcbs Of Nc

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Allen Shoes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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 IDO20100930015876DME · Pedorthic PersonnelDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories John Allen Shoes carries, from the Medicare DMEPOS supplier directory.

John Allen Shoes

DMEPOS supplier · Fayetteville, NCOperated by Summers And Koonce Inc
⋮

Does not accept Medicare assignment

John Allen Shoes has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20629973
Medicare Participant SinceJanuary 10, 2000
Supplier Location214 Owen DrFayetteville, NC 28304
Phone(910) 484-3161
Provider TypePedorthic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Summers And Koonce Inc's NPI number?

The NPI number for Summers And Koonce Inc is 1528116530. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as John Allen Shoes.

Where is Summers And Koonce Inc located?

Summers And Koonce Inc is located at 214 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-3161.

What is Summers And Koonce Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Is Summers And Koonce Inc enrolled in Medicare?

Yes. Summers And Koonce Inc is registered in the Medicare PECOS enrollment system.

When is Summers And Koonce Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Pedorthic Personnel) is due for revalidation by March 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.

Does Summers And Koonce Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, John Allen Shoes does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Summers And Koonce Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.