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WHITE SANDS PODIATRY LLC
NPI 1659765865
Podiatrist - Foot & Ankle Surgery in Crestview, FL

Active since March 25, 2015
502 S FERDON BLVD, CRESTVIEW, FL 32536(850) 622-1607(888) 302-6552 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Mar 20, 2017 (2 updates tracked since 2017).

About White Sands Podiatry Llc NPPES

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

WHITE SANDS PODIATRY LLC (NPI 1659765865) is a healthcare organization registered as a foot & ankle surgery in Crestview, Florida and active in the NPI registry since March 2015. The organization lists Sean Charles Hodson, Physician, as its authorized official.

NPPES Registry Identity

NPI1659765865
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWHITE SANDS PODIATRY LLC
Location Address502 S FERDON BLVDCrestview, FL 32536-4238
Mailing Address981 Us Hwy 98, Ste 3410Destin, FL 32541 · (850) 622-1607 · Fax (888) 302-6552
Phone(850) 622-1607
Fax(888) 302-6552
Organization SubpartNo
Authorized OfficialSean Charles HodsonPhysician · (850) 622-1607
Enumeration DateMarch 25, 2015
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1659765865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO3469
502 S FERDON BLVD, Crestview, FL 32536
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Sands Podiatry Llc 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 White Sands Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sean Hodson, DPM
Podiatry
NPI 1114225380
502 S FERDON BLVD STE B
Crestview, FL 32536
(850) 622-1607
✔ PECOS✔ Accepts MedicareSame address

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 White Sands Podiatry LLC's NPI number?

The NPI number for White Sands Podiatry LLC is 1659765865. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is White Sands Podiatry LLC located?

White Sands Podiatry LLC is located at 502 S Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 622-1607.

What is White Sands Podiatry LLC's specialty?

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

Is White Sands Podiatry LLC enrolled in Medicare?

Yes. White Sands Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through White Sands Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to White Sands Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does White Sands Podiatry LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 20 other insurers list White Sands Podiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for White Sands Podiatry LLC was last updated on December 5, 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.