VILLAGE PODIATRY GROUP, LLC (NPI# 1902243603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902243603 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, LLC |
| Practice Address |
771 Old Norcross Rd Ste. 355 Lawrenceville GA 30046-4386 |
| Mailing Address |
900 Circle 75 Pkwy Ste 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7709635161 |
| Practice Fax Number | 7705133916 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | DAVID N. HELFMAN (C.E.O.) |
| Authorized Official Telephone | 7703840284 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTREMITY HEALTHCARE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063760809 | Village Podiatry Group, LLC | Podiatrist | 583 Highland Xing Ste 130, Ellijay, GA 30540-6403 | 2012-08-28 |
| 1871730754 | Village Podiatry Group, LLC | Podiatrist | 1200 Russell Parkway, Warner Robins, GA 31088-5540 | 2009-01-14 |
| 1861539587 | Village Podiatry Group, LLC | Podiatrist | 2295 Parklake Drive, Ste. 150, Atlanta, GA 30345-2825 | 2007-01-31 |
| 1114010378 | Village Podiatry Group, LLC | Podiatrist | 1198 Buckhead Crossing, Suite D, Woodstock, GA 30189-4257 | 2006-10-02 |
| 1427159615 | Village Podiatry Group, LLC | Podiatrist | 8855 Hospital Dr Ste 150, Douglasville, GA 30134-2267 | 2006-09-26 |
| 1245796523 | Village Podiatry Group, LLC | Clinic/Center | 625 Cook St Ste 617, Royston, GA 30662-3932 | 2019-02-12 |
| 1265952923 | Village Podiatry Group, LLC | Podiatrist | 1505 Professional Ct, Dalton, GA 30720-2500 | 2017-06-23 |
| 1326475773 | Village Podiatry Group, LLC | Podiatrist | 5041 Dallas Hwy, Ste. 101h, Powder Springs, GA 30127-6458 | 2013-10-01 |
| 1306278007 | Village Podiatry Group, LLC | Podiatrist | 620 J L White Dr, Ste. 140, Jasper, GA 30143-4896 | 2013-08-05 |
| 1184061889 | Village Podiatry Group, LLC | Podiatrist | 500 Springhouse Cir, Bldg. 500, Stone Mountain, GA 30087-6741 | 2013-06-04 |
| Street Address |
771 OLD NORCROSS RD STE. 355 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619282 | Jose Anibal Torres | Internal Medicine | 771 Old Norcross Rd, Suite 310, Lawrenceville, GA 30046-4386 | 2005-06-15 |
| 1639657620 | Julienne K Thomas | Nurse Practitioner | 771 Old Norcross Rd, Lawrenceville, GA 30046-4386 | 2018-08-01 |
| 1649659780 | Nicole Lynn Mccarthy | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2015-05-21 |
| 1497163471 | Jessica Mcdonald | Physical Therapist | 771 Old Norcross Rd, Suite 390, Lawrenceville, GA 30046-4386 | 2014-07-23 |
| 1710306188 | Nicole Elizabeth Peters | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2014-04-14 |
| 1609214147 | Raquel I. Gonzalez Roepke | Nurse Practitioner | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2013-06-06 |
| 1578827069 | Aaoc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 771 Old Norcross Rd, Suite 135, Lawrenceville, GA 30046-4386 | 2012-06-28 |
| 1417231457 | Tabassum Safri | Internal Medicine | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2011-10-10 |
| 1568778306 | Rodriguez Md, LLC | Family Medicine | 771 Old Norcross Rd, Terrace Park Medical Center; Suite 120, Lawrenceville, GA 30046-4386 | 2010-08-30 |
| 1215249586 | Jeffrey Percey Smith Jr. | Orthopaedic Surgery | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2010-07-02 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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 |
|---|---|---|---|---|
| 1225035033 | Bruce David Bitcover | Podiatrist | 2030 Lawrenceville Rd, Lawrenceville, NJ 08648-2909 | 2005-07-07 |
| 1992898167 | Village Podiatry Group, LLC. | Podiatrist | 500 Medical Center Blvd, Suite 100, Lawrenceville, GA 30046-8708 | 2006-10-02 |
| 1730197336 | North Atlanta Podiatry Group P.C. | Podiatrist | 771 Old Norcross Rd, Suite 355, Lawrenceville, GA 30046-4386 | 2006-08-03 |
| 1346202942 | Richard C Aronoff | Podiatrist | 771 Old Norcross Rd, Suite 355, Lawrenceville, GA 30046-4386 | 2006-04-06 |
| 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 | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.