TOTAL FOOT CARE AND WELLNESS CLINIC, LLC
NPI 1578938684
Podiatrist - Foot & Ankle Surgery in Jacksonville, FL

Q: What is Total Foot Care And Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since December 01, 2015CLIA 10D2245597 · Accreditation

8021 PHILIPS HWY STE 1, JACKSONVILLE, FL 32256(904) 323-0954(904) 660-2125 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 10, 2022, Oct 3, 2018, Dec 1, 2015 (3 updates tracked since 2015).

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About Total Foot Care And Wellness Clinic, Llc NPPES

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

TOTAL FOOT CARE AND WELLNESS CLINIC, LLC (NPI 1578938684) is a healthcare organization registered as a foot & ankle surgery in Jacksonville, Florida and active in the NPI registry since December 2015. The organization holds an CLIA Accreditation certificate valid through November 22, 2026 and lists Candice L Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1578938684

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameTOTAL FOOT CARE AND WELLNESS CLINIC, LLC

Location Address8021 PHILIPS HWY STE 1Jacksonville, FL 32256-7460

Mailing Address8021 Philips Hwy Ste 1Jacksonville, FL 32256-7460 · (904) 323-0954 · Fax (904) 660-2125

Phone(904) 323-0954

Fax(904) 660-2125

Organization SubpartNo

Authorized OfficialCandice L KennedyOwner · (904) 323-0954

Enumeration DateDecember 1, 2015

Last NPPES UpdateMarch 20, 20243 updates tracked since enumeration

NPPES CertifiedMarch 20, 2024

✔ NPI 1578938684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Also ListedFamily MedicineTaxonomy 207Q00000X

8021 PHILIPS HWY STE 1, Jacksonville, FL 32256

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Other Identifiers 1

Medicaid020165000FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2245597

Total Foot Care And Wellness Clinic, LLC · Jacksonville, FL

Active · expires Nov 22, 2026

CLIA Number10D2245597

Laboratory TypePhysician Office

Certificate Effective DateNovember 23, 2024

Certificate Expiration DateNovember 22, 2026

Laboratory DirectorMeenakshi Gupta

Laboratory Phone(904) 323-0954

Laboratory LocationTotal Foot Care And Wellness Clinic, LLC8021-1 Phillips Highaway, Jacksonville, FL 32256

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

MINDY MCLEAN CANNON APRN, FNP-C

Nurse Practitioner (Family)