EXCELSIOR PODIATRY CLINIC PLLC
EXCELSIOR PODIATRY CLINIC PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003085515, based in Somerville, TN. It is classified under Foot & Ankle Surgery Podiatrist.
Getting there
Here is what surrounds this office in Somerville, based on OpenStreetMap data collected Sep 4, 2026. No dedicated parking is recorded within walking distance, so allow extra time to find street parking. A pharmacy sits 0.35 mi from the entrance (Landry's Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Pharmacy Landry's Pharmacy 0.35 mi ~8 min
Restaurant Milano's Pizza 0.42 mi ~9 min
Restaurant Sonic 0.44 mi ~9 min
16320 Highway 64, Somerville 38068
Mo-Sa 06:00-22:00; Su 07:00-22:00
Grocery Food Rite 0.44 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DPM0000000649 | TN | Foot & Ankle Surgery Podiatrist primary |
This provider holds licence DPM0000000649 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3274602115
- Enrollment ID
- O20080519000768
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Foot & Ankle Surgery covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003085515 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 28, 2008 |
| Last updated | Apr 13, 2010 |
| Status | Active |
| Practice address |
214 LAKEVIEW RD Somerville, TN 38068 (901) 516-4005 Fax (901) 516-4023 |
| Mailing address |
PO BOX 460 Oakland, TN 38060 |
| Other identifiers |
33542121
· Medicaid (TN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 8 | 5 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 8 | 1 | 5 | 2 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.