Genesis Diabetic Shoes & Medical Supplies
NPI 1699024489 · Prosthetic/Orthotic Supplier · Wilmington, NC
Genesis Diabetic Shoes & Medical Supplies is a Prosthetic/Orthotic Supplier organization in Wilmington, NC (NPI 1699024489).
Provider details
- NPI number
- 1699024489
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Tanita Wallace, Owner(910) 279-6181
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2012-09-07
Frequently asked questions
- What is Genesis Diabetic Shoes & Medical Supplies's NPI number?
- Genesis Diabetic Shoes & Medical Supplies's National Provider Identifier (NPI) is 1699024489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Diabetic Shoes & Medical Supplies?
- Genesis Diabetic Shoes & Medical Supplies is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Genesis Diabetic Shoes & Medical Supplies located?
- Genesis Diabetic Shoes & Medical Supplies's practice location on file with NPPES is 3806 1/2 Park Ave, Wilmington, NC 28403-6756.
- What is Genesis Diabetic Shoes & Medical Supplies's phone number?
- The practice phone number listed in the NPPES registry for Genesis Diabetic Shoes & Medical Supplies is (910) 279-6181.
- Who is the authorized official for Genesis Diabetic Shoes & Medical Supplies?
- The authorized official listed on Genesis Diabetic Shoes & Medical Supplies's NPPES record is Tanita Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Diabetic Shoes & Medical Supplies's NPI active?
- Yes — Genesis Diabetic Shoes & Medical Supplies's NPI (1699024489) is active in the NPPES registry as of the last update on 2012-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.