MID-SOUTH PODIATRY, LLC (NPI# 1942497854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942497854 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH PODIATRY, LLC |
| Practice Address |
1950 Pickwick St Savannah TN 38372-5309 |
| Mailing Address |
3203 Carrington Ln Columbia TN 38401-8645 |
| Practice Telephone | 9316297176 |
| Practice Fax Number | 9312235459 |
| Mailing Telephone | 9316297176 |
| Mailing Fax Number | 9312235459 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | AARON M OWENS (DOCTOR) |
| Authorized Official Telephone | 9316297176 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3370132 | 05 |
| Street Address |
1950 PICKWICK ST |
| City | SAVANNAH |
| State | TN |
| Zip Code | 38372-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881097798 | Bruce K.boyd Dpm | Podiatrist | 1950 Pickwick St, Savannah, TN 38372-5309 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1538671631 | Qualls Harbin Family Medicine LLC | Nurse Practitioner | 255 Riverside Drive, Savannah, TN 38372 | 2017-10-30 |
| 1912215500 | John D. Lay Md | Family Medicine | 855 Wayne Rd Ste B, Savannah, TN 38372 | 2010-09-17 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1972810349 | Teresa Carol Williams | Pharmacist | Kroger At 775 Pickwick Rd, Savannah, TN 38372 | 2010-09-08 |
| 1619128089 | Robert L. Ginn | Dietitian, Registered | 935 Wayne Rd., Savannah, TN 38372 | 2008-10-03 |
| 1821246786 | Delca Sue Rickman | Social Worker | 765 Florence Rd., Savannah, TN 38372 | 2008-09-04 |
| 1215119102 | Grimes - Bevis Chiropractic, Pllc | Chiropractor | 1940 Pickwick St., South, Savannah, TN 38372 | 2007-12-03 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1730300690 | William F. Conway, Md, Inc | Internal Medicine | 855 Wayne Road, Suite A1, Savannah, TN 38372 | 2007-05-01 |
| Find all providers in zip 38372 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659516292 | Southside Footcare P.C. | Clinic/Center | 13015 Abercorn St Ste D9, Savannah, GA 31419-1975 | 2008-12-11 |
| 1386869386 | Midtown Surgical Center, LLC | Clinic/Center | 906 Abercorn St, Savannah, GA 31401-5912 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497052740 | Bradley Gipson | Clinic/Center | 358 Indian Hills Cir, #b, Clinton, TN 37716-6564 | 2011-02-23 |
| 1225208689 | Paulo R.t. Yen | Clinic/Center | 1823 Memorial Dr, Clarksville, TN 37043-4604 | 2008-03-01 |
| 1376713701 | Tennessee Podiatry LLC | Clinic/Center | 139 Williamsburgh West Ct, Nashville, TN 37221-2609 | 2008-02-29 |
| 1396307252 | Elite Foot and Ankle Specialists LLC | Clinic/Center | 200 Manufacturers Rd Ste 105, Chattanooga, TN 37405-3340 | 2019-07-01 |
| 1720357650 | Francis A. Hawthorn,dpm,pc | Clinic/Center | 3901 Central Pike, Suite 353, Hermitage, TN 37076-3422 | 2011-12-21 |
| 1568796845 | Williams Surgery Center, Inc. | Clinic/Center | 1725 Medical Center Pkwy, Suite 120, Murfreesboro, TN 37129-2247 | 2009-09-20 |
| 1023034576 | Foot & Ankle Institute of Knoxville, Pllc | Clinic/Center | 116 Concord Rd, Suite 300, Knoxville, TN 37934-2940 | 2006-07-15 |
Please comment or provide details below to improve the information on MID-SOUTH PODIATRY, LLC.
| 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.