OrganizationActive
Coastal Carolina Foot & Ankle Association PA
NPI 1639336027 · Foot & Ankle Surgery Podiatrist · Wallace, NC
Provider details
- NPI number
- 1639336027
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kathy Walker, Practice Administrator(910) 343-8889
- License
- 449 (NC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 N Norwood St
Wallace, NC 28466-2730
Phone: (910) 285-3362
Fax: (910) 285-6683
Street-level locationGet directions
Mailing address
114 N Norwood St
Wallace, NC 28466-2730
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2013-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.