GAIT MEDICAL LLC (NPI# 1962922039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962922039 |
Entity Type | Organization |
Organization Name | GAIT MEDICAL LLC |
Practice Address |
1110 Marshall Rd Wellness Center-podiatry Greenwood SC 29646 |
Mailing Address |
3485 North Desert Drive Suite 112 Building 2 East Point GA 30344 |
Practice Telephone | 2157407000 |
Practice Fax Number | 7707904752 |
Mailing Telephone | 2157407000 |
Mailing Fax Number | 7707904752 |
Enumeration Date | 2017-06-21 |
Last Update Date | 2017-06-21 |
Authorized Official Name | DR. ADRIENNE ATKINSON-SNEED (DPM) |
Authorized Official Telephone | 2157407000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 602 | SC | Podiatric Medicine & Surgery Service Providers |
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
602 | SC | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
602 | SC | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
602 | SC | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | GP9887 | 05 | |
SC | PD6023 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093243024 | Gait Medical LLC | Clinic/Center | 3485 N Desert Dr Ste 112, East Point, GA 30344-5724 | 2017-06-03 |
Street Address |
1110 MARSHALL RD WELLNESS CENTER-PODIATRY |
City | GREENWOOD |
State | SC |
Zip Code | 29646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598760456 | Wesley Commons | Skilled Nursing Facility | 1110 Marshall Rd, Greenwood, SC 29646 | 2005-06-16 |
1821560228 | Troy Lewis | Physical Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2018-12-23 |
1326515727 | Jenevieve Lackey | Physical Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2018-10-24 |
1497291918 | Katie Johnson Broyles | Speech-Language Pathologist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2017-01-08 |
1356598593 | Providence Foot & Ankle Centers PC | Podiatrist | 1110 Marshall Rd, Wellness Center, Greenwood, SC 29646-4216 | 2008-08-19 |
1427267970 | Connie Elaine Burkhalter | Occupational Therapy Assistant | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-05-22 |
1609085166 | Aubrey Elizabeth Shields | Occupational Therapist | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-05-22 |
1518185479 | Dortlies Helene Releford | Rehabilitation Practitioner | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
Find all providers in zip 29646 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508226580 | Foot and Heel Pain Clinic, LLC | Podiatrist | 551 Old Charleston Hwy, Hardeeville, SC 29927-3716 | 2016-03-03 |
1952630972 | Roper Saint Francis Physicians Network | Podiatrist | 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 | 2009-12-22 |
1487889200 | Carolina Foot Specialists, LLC | Podiatrist | 501 Bramson Ct Unit 301, Mt Pleasant, SC 29464-7953 | 2009-05-22 |
1720228661 | Nicholas A Straney Dpm | Podiatrist | 701 Saint Andrews Blvd, Charleston, SC 29407-7140 | 2009-03-05 |
1457543589 | Mid-carolina Podiatry, Inc. | Podiatrist | 1207 N Lake Dr, Lexington, SC 29072-7647 | 2007-08-13 |
1467571919 | Cheraw Foot Center PC | Podiatrist | 110 S Doctors Dr, Suite B1, Cheraw, SC 29520-7112 | 2007-03-28 |
1326117433 | Richard Hampton Moore | Podiatrist | 4000 Highway 9 E # 235, Little River, SC 29566-7833 | 2006-11-06 |
1093804817 | George Sich IIi | Podiatrist | 901 Magnolia Dr, Aiken, SC 29803 | 2006-10-12 |
1891891644 | James Leon Rose | Podiatrist | 2126b N Highway 81, Anderson, SC 29621-1532 | 2006-09-16 |
1043316987 | Palmetto Podiatry Group of Anderson, Pa | Podiatrist | 2126 - B Hwy 81 North, Anderson, SC 29621-4819 | 2006-09-16 |
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.