AUGUSTA FOOT & ANKLE, PC (NPI# 1366513988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366513988 |
| Entity Type | Organization |
| Organization Name | AUGUSTA FOOT & ANKLE, PC |
| Practice Address |
1416 Wainbrook Dr Augusta GA 30909-6289 |
| Practice Telephone | 7062623668 |
| Practice Fax Number | 7062623670 |
| Mailing Telephone | 7062623668 |
| Mailing Fax Number | 7062623670 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | BRIAN NATHAN BENNETT (PHYSICIAN) |
| Authorized Official Telephone | 7063123668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
POD000842 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000812985B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619185352 | Augusta Foot & Ankle, PC | Podiatrist | 4350 Towne Centre Dr, Suite 3000, Evans, GA 30809-3301 | 2007-05-18 |
| 1568531119 | Augusta Foot & Ankle, PC | Durable Medical Equipment & Medical Supplies | 465 N Belair Rd, Suite 3b, Evans, GA 30809-3188 | 2006-11-07 |
| Street Address |
1416 WAINBROOK DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262148 | Christopher David Anna | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-06-12 |
| 1467887877 | Trevor Sean Payne | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2013-09-05 |
| 1194854091 | Ian Russell Driscoll | Surgery | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2007-03-05 |
| 1023114238 | Mickey Dwight Stapp | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-09-15 |
| 1275639692 | Brian Nathan Bennett | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851416945 | Reliant Health Incorporated | Durable Medical Equipment & Medical Supplies | 1103 Woodhill Trl, Augusta, GA 30909-2658 | 2007-03-20 |
| 1316084361 | Mooneys Shoes | Durable Medical Equipment & Medical Supplies | 2825 Washington Rd, G-2, Augusta, GA 30909-2196 | 2007-01-31 |
| 1669551982 | New Tech Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 33 Highway 206, Augusta, NJ 07822 | 2006-11-06 |
| 1134203607 | Midlands Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 1018 Druid Park Ave, Augusta, GA 30904-5848 | 2006-10-24 |
| 1104378009 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1022 Walton Way, Suite D, Augusta, GA 30901-2861 | 2016-10-26 |
| 1265754717 | Snt Access, Elevators, Entry, & Lifts, LLC | Durable Medical Equipment & Medical Supplies | 119 Davis Rd, Suite 9b, Augusta, GA 30907-0200 | 2010-02-25 |
| 1285614487 | Home Medical Systems Inc | Durable Medical Equipment & Medical Supplies | 1021 15th St, Suite 10, Augusta, GA 30901-3158 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163228 | Juanetta Barnes | Durable Medical Equipment & Medical Supplies | 2597 Thorngate Way, Acworth, GA 30101-8837 | 2020-08-06 |
| 1952919136 | Aklor Inc | Durable Medical Equipment & Medical Supplies | 2310 Parklake Dr Ne Ste 135, Atlanta, GA 30345-2913 | 2020-07-14 |
| 1285254656 | Kinetic Prosthetics & Medical Supply | Durable Medical Equipment & Medical Supplies | 3595 Hiram Douglasville Hwy Ste 102, Hiram, GA 30141-4963 | 2020-04-25 |
| 1215569843 | Jessi'ca Coley | Durable Medical Equipment & Medical Supplies | 451 Brookview Dr Ste A, Riverdale, GA 30274-7206 | 2020-02-11 |
| 1497387260 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 5901 Goshen Springs Rd Ste G, Norcross, GA 30071-3506 | 2020-02-10 |
| 1982248969 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 4406 Mercer University Drive, Suite D, Macon, GA 31210-5608 | 2019-11-01 |
| 1548816283 | Daniel Arbuckle | Durable Medical Equipment & Medical Supplies | 2304 Pierce Way, Buford, GA 30519-2293 | 2019-08-16 |
| 1700438587 | Evelyn Ray LLC | Durable Medical Equipment & Medical Supplies | 12570 Lakeside Pkwy, Fayetteville, GA 30215-4002 | 2019-07-12 |
| 1073174603 | Freedom Mobility Center, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Us Highway 80 E Ste 7a, Savannah, GA 31410-2943 | 2019-06-25 |
| 1790258226 | Ariana Sade Jones | Durable Medical Equipment & Medical Supplies | 1015 Casa Dr, Clarkston, GA 30021-1109 | 2019-01-08 |
| 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.