SOUTHSIDE FOOTCARE P.C. (NPI# 1659516292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659516292 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE FOOTCARE P.C. |
| Practice Address |
13015 Abercorn St Ste D9 Savannah GA 31419-1975 |
| Practice Telephone | 9129253668 |
| Practice Fax Number | 9129253688 |
| Mailing Telephone | 9129253668 |
| Mailing Fax Number | 9129253688 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | DR. CRAIG KEVIN SKALLA (PROVIDER) |
| Authorized Official Telephone | 9129253668 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
694 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | INDIVIDUAL NPI | 1265570691 | 01 |
| Street Address |
13015 ABERCORN ST STE D9 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942497854 | Mid-south Podiatry, LLC | Clinic/Center | 1950 Pickwick St, Savannah, TN 38372-5309 | 2007-09-25 |
| 1386869386 | Midtown Surgical Center, LLC | Clinic/Center | 906 Abercorn St, Savannah, GA 31401-5912 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256794 | Whitney Mcconnell LLC | Clinic/Center | 2600 Wildwood Dr, Brunswick, GA 31520-4249 | 2020-02-11 |
| 1801304662 | Hc Podiatry, LLC | Clinic/Center | 1870 The Exchange Se Ste 200, Atlanta, GA 30339-2021 | 2018-01-15 |
| 1508384892 | Eldridge Podiatry and Diabetes Center, LLC | Clinic/Center | 910 Dannon Vw Sw Ste 2201, Atlanta, GA 30331-2156 | 2017-09-06 |
| 1306221106 | Courtney Glenn Dpm LLC | Clinic/Center | 1574 Friendship Rd # 200, Hoschton, GA 30548-4146 | 2015-07-22 |
| 1669626735 | Podiatry Associates of Georgia P C | Clinic/Center | 5200 Greystone Summit Dr, Suite #1010, Columbus, GA 31909-7541 | 2008-11-15 |
| 1588858922 | Webb's Foot and Wound Care Clinic, LLC | Clinic/Center | 2907 Watson Blvd Ste I, #184, Warner Robins, GA 31093-8513 | 2007-08-29 |
| 1154536126 | South Fulton Family Foot Care, Inc. | Clinic/Center | 67 W Campbellton St, Fairburn, GA 30213-1338 | 2007-05-13 |
| 1376668020 | Family Podiatry Center PC | Clinic/Center | 1804 Seminole Drive, Vidalia, GA 30474 | 2007-03-20 |
| 1447362298 | Family Podiatry Center PC | Clinic/Center | 95 Bel Air Dr, Statesboro, GA 30461-6879 | 2006-08-31 |
| 1578588265 | Tyrone Podiatry | Clinic/Center | 1129 Senoia Rd, Tyrone, GA 30290-1625 | 2006-07-13 |
| 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.