THE FOOT CLINIC
NPI 1962689042
Clinic/Center - Podiatric in Vicksburg, MS
About The Foot Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE FOOT CLINIC (NPI 1962689042) is a healthcare organization registered as a podiatric in Vicksburg, Mississippi and active in the NPI registry since January 2008. The organization lists Brian Edward Shockley, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 14
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Foot Clinic 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 The Foot Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Delta Foot Clinics, Inc's NPI number?
The NPI number for Delta Foot Clinics, Inc is 1962689042. It was assigned to this organization in the NPPES registry on January 30, 2008. The provider is doing business as The Foot Clinic.
Where is Delta Foot Clinics, Inc located?
Delta Foot Clinics, Inc is located at 1814 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 638-7520.
What is Delta Foot Clinics, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Delta Foot Clinics, Inc enrolled in Medicare?
Yes. Delta Foot Clinics, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Foot Clinics, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Delta Foot Clinics, Inc. 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 Delta Foot Clinics, Inc was last updated on January 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# The Foot Clinic · NPI 1962689042
Podiatric organization in Vicksburg, Mississippi. Organization record, active in the CMS NPPES registry since January 30, 2008.
## Identity
- **NPI:** 1962689042 (Entity type: Organization)
- **Enumerated:** January 30, 2008
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Legal business name:** Delta Foot Clinics, Inc
- **Organization subpart:** No
- **Authorized official:** Brian Shockley, PRESIDENT/OWNER
## Practice location
- **Address:** 1814 MISSION 66, Vicksburg, MS 39180-3710
- **Phone:** (601) 638-7520 · **Fax:** (601) 638-7541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2011
- **Other identifiers:** Other 1851563 (MS); Other 412865 (MS); Other 5963224 (MS); and 11 more
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Source: [NPI Profile](https://npiprofile.com/npi/1962689042) · Data from the CMS NPPES public registry.