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CLAY COUNTY PODIATRY, LLC
NPI 1972532125
Podiatrist - Foot & Ankle Surgery in Brazil, IN

Active since July 01, 2006
955 W CRAIG AVE, BRAZIL, IN 47834(812) 448-9290(812) 448-9296 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clay County Podiatry, Llc NPPES

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

CLAY COUNTY PODIATRY, LLC (NPI 1972532125) is a healthcare organization registered as a foot & ankle surgery in Brazil, Indiana and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Brazil and lists Miranda Anne Goodale, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1972532125
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCLAY COUNTY PODIATRY, LLC
Location Address955 W CRAIG AVEBrazil, IN 47834-7400
Mailing Address955 W Craig AveBrazil, IN 47834-7400 · (812) 448-9290 · Fax (812) 448-9296
Phone(812) 448-9290
Fax(812) 448-9296
Organization SubpartNo
Authorized OfficialMiranda Anne GoodaleManaging Member · (812) 448-9290
Enumeration DateJuly 1, 2006
Last NPPES UpdateMay 31, 2019
✔ NPI 1972532125 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 IN · 07001015A
955 W CRAIG AVE, Brazil, IN 47834
Open in Google Maps ↗

Secondary Practice Location 1

Location 11214 E National Ave, Suite 90 BBrazil, IN 47834-2718 · Phone (812) 448-9290 · Fax (812) 448-9296

Other Identifiers 3

Other0385202IN · Cigna
Medicaid200825350AIN
Other000000392910IN · Bluecrossblueshield

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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)

Clay County 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 Clay County Podiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Miranda Goodale, DPM
Podiatry
NPI 1003858762
955 W CRAIG AVE
Brazil, IN 47834
(812) 448-9290
✔ 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 Clay County Podiatry, LLC's NPI number?

The NPI number for Clay County Podiatry, LLC is 1972532125. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Clay County Podiatry, LLC located?

Clay County Podiatry, LLC is located at 955 W Craig Ave, Brazil, IN 47834. The listed phone number is (812) 448-9290.

What is Clay County Podiatry, LLC's specialty?

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

Is Clay County Podiatry, LLC enrolled in Medicare?

Yes. Clay County Podiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clay County Podiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Clay County 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 Clay County Podiatry, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Clay County 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 Clay County Podiatry, LLC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.