ANTIOCH MEDICAL ASSOCIATES (NPI# 1861541344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861541344 |
| Entity Type | Organization |
| Organization Name | ANTIOCH MEDICAL ASSOCIATES |
| Practice Address |
9104 Middleground Rd Ste 2 Savannah GA 31406-4302 |
| Practice Telephone | 9129278011 |
| Practice Fax Number | 9129278311 |
| Mailing Telephone | 9129278011 |
| Mailing Fax Number | 9129278311 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | DR. JAMES ALPHONSO DANDY SR. (OWNER) |
| Authorized Official Telephone | 9129278011 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000860 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000817242C | 05 |
| Street Address |
9104 MIDDLEGROUND RD STE 2 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405551 | Angeline D. Dy | Podiatrist | 9104 Middleground Rd, Suite 2, Savannah, GA 31406-4320 | 2005-11-21 |
| 1063744761 | Daalia Melissa Jones | Podiatrist | 9104 Middleground Rd, Suite 2, Savannah, GA 31406-4319 | 2010-02-04 |
| 1780648345 | Patrick J. Nunan | Podiatrist | 9104 Middleground Rd, Suite 2, Savannah, GA 31406-4319 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1831212315 | John Milton Murrell | Podiatrist | 908 Abercorn St, Savannah, GA 31401-5912 | 2007-04-09 |
| 1750466769 | Ronald G Miller | Podiatrist | 308 Winchester Dr, Savannah, GA 31410-4409 | 2006-10-26 |
| 1033120639 | Todd Christopher Newsom | Podiatrist | 803 E 68th St, Savannah, GA 31405-4709 | 2006-08-10 |
| 1356376743 | Lillian Machelle Loretz | Podiatrist | 6709 Waters Ave, Savannah, GA 31406-2717 | 2006-07-12 |
| 1164405551 | Angeline D. Dy | Podiatrist | 9104 Middleground Rd, Suite 2, Savannah, GA 31406-4320 | 2005-11-21 |
| 1770577173 | Paul Myron Horovitz | Podiatrist | 325 Stephenson Ave, Savannah, GA 31405-5931 | 2005-08-31 |
| 1407306640 | Atlantic Foot and Ankle Specialists | Podiatrist | 803 E 68th St, Savannah, GA 31405-4709 | 2016-10-12 |
| 1144777657 | Atlantic Foot and Ankle Specialists | Podiatrist | 11706 Mercy Blvd, Bld 8, Savannah, GA 31419-1751 | 2016-09-01 |
| 1265570691 | Craig Kevin Skalla | Podiatrist | 1326 Eisenhower Dr, Savannah, GA 31406-3928 | 2007-02-01 |
| 1669413977 | Steven James Pangborn | Podiatrist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2006-06-09 |
| Find all providers in SAVANNAH | ||||
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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.