SOUTHERN PODIATRY FOOT AND ANKLE LLC (NPI# 1619112968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619112968 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PODIATRY FOOT AND ANKLE LLC |
| Practice Address |
212 Lake Pehama Trail Homer GA 30547 |
| Practice Telephone | 3127527713 |
| Mailing Telephone | 3127527713 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |
| Authorized Official Name | RICK THORNTON (OWNER) |
| Authorized Official Telephone | 3127527713 |
| Authorized Official Credential | DMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5981134 | TN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
212 LAKE PEHAMA TRAIL |
| City | HOMER |
| State | GA |
| Zip Code | 30547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124112339 | Banks County Health Department | Public Health or Welfare | 667 Thompson Street, Homer, GA 30547 | 2006-10-03 |
| 1669440962 | Homer Drugs, LLC | Pharmacy | 1228 Historic Homer Hwy, Homer, GA 30547 | 2006-03-10 |
| 1346444676 | James W Allen | Nurse Anesthetist, Certified Registered | 182 Lake Tehama Trl, Homer, GA 30547-2250 | 2007-06-12 |
| 1760551071 | Banks County School System | Local Education Agency (LEA) | 102 Highway 51 South, Homer, GA 30547-2500 | 2006-11-08 |
| 1154563872 | Community Sleep Solutions, LLC | Clinic/Center | 1226 Historic Homer Hwy, Homer, GA 30547-2737 | 2009-03-26 |
| 1588632483 | Valerie A Wills | Nurse Practitioner | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2006-03-08 |
| 1538405048 | William Taylor Truelove | Pharmacist | 1228 Historic Homer Hwy, Homer, GA 30547-2737 | 2013-01-02 |
| 1588924765 | Aaron Thomas | Internal Medicine | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2012-05-22 |
| 1033484357 | Giselle Sawyer | Physician Assistant | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2012-03-20 |
| 1033304274 | Medlink Georgia Inc | Clinic/Center | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2007-09-11 |
| Find all providers in zip 30547 | ||||
| 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 |
|---|---|---|---|---|
| 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.