✓ Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery (213ES0103X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

BLUE RIDGE FOOT AND ANKLE, LLC (NPI #1972288926)

Podiatrist, Foot & Ankle Surgery • MAULDIN, SC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972288926
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
213ES0103X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
Box 32 Service Location & ZIP+4
5 WINCHESTER CT, MAULDIN, SC, 29662-2626
✓ 9-Digit EDI 837 ZIP+4 (29662-2626)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972288926 (BLUE RIDGE FOOT AND ANKLE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972288926 (NPI-2 Organization / Facility)
Provider / Legal NameBLUE RIDGE FOOT AND ANKLE, LLC
Plain-English SpecialtyLicensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
NUCC Code: 213ES0103X (Podiatrist, Foot & Ankle Surgery)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address5 WINCHESTER CT, MAULDIN, SC, 29662-2626
Practice Telephone / FaxTel: (864) 297-6616
Administrative Mailing Address10 AFTON AVE, GREENVILLE, SC, 29601-4302
Enumeration & Last SyncEnumerated: 2023-06-19 | CMS Record Updated: 2023-08-22
Authorized OfficialTHOMAS SCHIPPER (Managing Partner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5 WINCHESTER CT, MAULDIN, SC, 29662-2626

🗺️ Open in Google Maps 🏥 More Providers in MAULDIN

Plain-English Taxonomy & CMS Crosswalk (213ES0103X)

What Does Taxonomy Code 213ES0103X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist, Foot & Ankle Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLUE RIDGE FOOT AND ANKLE, LLC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
213ES0103X — Podiatrist, Foot & Ankle Surgery
Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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