VALDOSTA FOOT & ANKLE CLINIC, P.C.
NPI 1699975375
Podiatrist - Foot & Ankle Surgery in Valdosta, GA

Active since July 20, 2007
2800 N OAK ST, VALDOSTA, GA 31602(229) 244-1211(229) 244-2721 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Valdosta Foot & Ankle Clinic, P.c. NPPES

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

VALDOSTA FOOT & ANKLE CLINIC, P.C. (NPI 1699975375) is a healthcare organization registered as a foot & ankle surgery in Valdosta, Georgia and active in the NPI registry since July 2007. The organization lists Michael R. Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1699975375
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameVALDOSTA FOOT & ANKLE CLINIC, P.C.
Location Address2800 N OAK STValdosta, GA 31602-1716
Mailing Address2800 N Oak StValdosta, GA 31602-1716 · (229) 244-1211 · Fax (229) 244-2721
Fax(229) 244-2721
Organization SubpartNo
Authorized OfficialMichael R. WallaceOwner · (229) 244-1211
Enumeration DateJuly 20, 2007
Last NPPES UpdateSeptember 18, 2013
✔ NPI 1699975375 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
2800 N OAK ST, Valdosta, GA 31602

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)

Valdosta Foot & Ankle Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Valdosta Foot & Ankle Clinic, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1780777904
2800 N OAK ST
Valdosta, GA 31602
(229) 244-1211
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1295828416
2800 N OAK ST
Valdosta, GA 31602
(229) 244-1211
✔ 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 Valdosta Foot & Ankle Clinic, P.C.'s NPI number?

The NPI number for Valdosta Foot & Ankle Clinic, P.C. is 1699975375. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Valdosta Foot & Ankle Clinic, P.C. located?

Valdosta Foot & Ankle Clinic, P.C. is located at 2800 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 244-1211.

What is Valdosta Foot & Ankle Clinic, P.C.'s specialty?

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

Is Valdosta Foot & Ankle Clinic, P.C. enrolled in Medicare?

Yes. Valdosta Foot & Ankle Clinic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valdosta Foot & Ankle Clinic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Valdosta Foot & Ankle Clinic, P.C.. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Valdosta Foot & Ankle Clinic, P.C. was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.