DR. JOHN JOSEPH LAND IV (NPI# 1568548220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568548220 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH LAND IV |
| Credential | DPM |
| Practice Address |
1107 Broadrick Dr Dalton GA 30720-2592 |
| Practice Telephone | 7062785558 |
| Practice Fax Number | 7062786334 |
| Mailing Telephone | 7062785558 |
| Mailing Fax Number | 7062786334 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | DPM0000000417 | TN | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | POD000679 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BC BS | 52432145 | 01 |
| UMWA | 1440694 | 01 | |
| TN | BCBS | 3124909 | 01 |
| GA | 000828385A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093110611 | John David Land | Counselor | 4515 Edgewood, Sapulpa, OK 74066-8908 | 2014-10-24 |
| 1760823306 | John C Land IIi | Pharmacist | 4651 W Kennedy Blvd, Tampa, FL 33609-2519 | 2013-07-11 |
| 1649228131 | John C Land | Specialist | 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | 2006-05-05 |
| Street Address |
1107 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992801542 | North Georgia Surgical Associates | Surgery | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2006-09-14 |
| 1124552492 | Greg Lifferth | Podiatrist | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2017-04-13 |
| 1972877074 | Advanced Pain Care, PC | Anesthesiology | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2012-03-07 |
| 1356500573 | John J Land Iv PC | Podiatrist | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164576112 | Spencer Carlton Misner | Podiatrist | 1432 Broadrick Drive, Dalton Foot and Ankle Surgery Center, Dalton, GA 30720 | 2007-01-23 |
| 1265952923 | Village Podiatry Group, LLC | Podiatrist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2017-06-23 |
| 1336523166 | Jalpa R Patel | Podiatrist | 1716 Cleveland Hwy, Suite 104, Dalton, GA 30721-2314 | 2015-07-10 |
| 1154702827 | Shelley Brand | Podiatrist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2015-06-17 |
| 1336481589 | Maria Lissette Pacheco | Podiatrist | 1432 Broadrick Dr, Dalton, GA 30720 | 2013-03-25 |
| 1538309992 | Spencer C. Misner,dpm,pc | Podiatrist | 1432 Broadrick Dr, Dalton, GA 30720-3009 | 2009-02-25 |
| 1356500573 | John J Land Iv PC | Podiatrist | 1107 Broadrick Dr, Dalton, GA 30720-2592 | 2008-06-03 |
| 1407901275 | George M Kemper, Jr Dpm Inc | Podiatrist | 129 Wenger Rd N, Suite A, Dalton, OH 44618-9056 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| 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.