ANKLE AND FOOT ASSOC, LLC (NPI# 1194265439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194265439 |
| Entity Type | Organization |
| Organization Name | ANKLE AND FOOT ASSOC, LLC |
| Practice Address |
204 Westside Dr Douglas GA 31533-3528 |
| Mailing Address |
501 W Oneida St Waycross GA 31501-5337 |
| Practice Telephone | 9123844121 |
| Practice Fax Number | 9123891817 |
| Mailing Telephone | 9122837596 |
| Mailing Fax Number | 9122831618 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | DAVID P MURPHY (CEO) |
| Authorized Official Telephone | 9122837596 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| 1245770437 | Ankle and Foot Assoc, LLC | Podiatrist | 94 Andrews Way, Saint Marys, GA 31558-1632 | 2017-03-07 |
| 1801336003 | Ankle and Foot Assoc, LLC | Podiatrist | 246 Benjamin Hl, Fitzgerald, GA 31750-8695 | 2017-03-07 |
| 1396285631 | Ankle and Foot Assoc, LLC | Podiatrist | 1088 Bermuda Run, Suite B, Statesboro, GA 30458-0858 | 2017-03-06 |
| 1871034926 | Ankle and Foot Assoc, LLC | Podiatrist | 300 New River Pkwy, Suite 21, Hardeeville, SC 29927-4548 | 2017-03-09 |
| 1629518733 | Ankle and Foot Assoc, LLC | Podiatrist | 331 Peachtree St, Jesup, GA 31545-0245 | 2017-03-08 |
| 1952841140 | Ankle and Foot Assoc, LLC | Podiatrist | 205 S Dogwood Dr, Nashville, GA 31639-2157 | 2017-03-07 |
| 1932649118 | Ankle and Foot Assoc, LLC | Podiatrist | 802 Towne Park Dr, Suite 400, Rincon, GA 31326-5151 | 2017-03-07 |
| 1073053252 | Ankle and Foot Assoc, LLC | Podiatrist | 4 Live Oak Ct, Moultrie, GA 31768-6783 | 2017-03-07 |
| 1780124974 | Ankle and Foot Assoc, LLC | Podiatrist | 1010 W Franklin St, Sylvester, GA 31791-1900 | 2017-03-07 |
| Street Address |
204 WESTSIDE DR |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598793283 | Gregory J Kramer | Podiatrist | 204 Westside Dr, Douglas, GA 31533-3528 | 2006-06-29 |
| 1073806956 | Nicole Edith Wilson | Podiatrist | 204 Westside Dr, Douglas, GA 31533-3528 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073806956 | Nicole Edith Wilson | Podiatrist | 204 Westside Dr, Douglas, GA 31533-3528 | 2011-05-25 |
| 1932118189 | Craig S Capron | Podiatrist | 111 S 5th St, Douglas, WY 82633-2434 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.