SOUTHERN PODIATRY FOOT AND ANKLE, PLLC – Foot Surgery Podiatrist, NPI 1497984397
Foot Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHERN PODIATRY FOOT AND ANKLE, PLLC
1311 GRANDEVIEW BLVD APT 1928
HUNTSVILLE, AL 358242408
Phone: (312) 752-7713
Type: Mailing
8000 MADISON BLVD STE D102-341
MADISON, AL 357582031
Phone: (312) 752-7713
Type: Location
1060, Grandeview Boulevard, MAA Edgewater, Huntsville, Madison County, Alabama, 35824, United States
SUITE 623
HUNTSVILLE, AL 358241497
Phone: (312) 752-7713
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090807000222 | O | Clinic/Group Practice | AL | TBD |
| O20091118000192 | O | Clinic/Group Practice | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35824)
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