DIABETIC FOOT CARE SPECIALIST OF GEORGIA (NPI# 1053506162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053506162 |
| Entity Type | Organization |
| Organization Name | DIABETIC FOOT CARE SPECIALIST OF GEORGIA |
| Practice Address |
238 Walker St Sw Unit #12 Atlanta GA 30313-1266 |
| Practice Telephone | 4047596755 |
| Practice Fax Number | 3342713768 |
| Mailing Telephone | 4047596755 |
| Mailing Fax Number | 3342713768 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | DR. THERESA IOLA BROWN (CEO/OWNER) |
| Authorized Official Telephone | 4047596755 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
POD000681 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
238 WALKER ST SW UNIT #12 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30313-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275067894 | Brittni Fleming | Counselor | 250 Park Avenue West, Atlanta, GA 30313 | 2017-04-20 |
| 1417163916 | Kelly K Hudson | Nurse Practitioner | 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313 | 2007-05-14 |
| 1134158413 | Francine Blonnetta Ricketts | Physician Assistant | 430 Centennial Olympic Park Drive, Atlanta, GA 30313 | 2006-06-30 |
| 1053348540 | Deborah Robinson Maclean | Specialist/Technologist | Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 | 2006-06-28 |
| 1851345904 | William C Warren Iv | Pediatrics | 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 | 2006-05-22 |
| 1790222834 | Courtney Dean | Specialist/Technologist | 150 Bobby Dodd Way, Atlanta, GA 30313 | 2017-01-27 |
| 1932503711 | Emory Employer Based Health Services | Clinic/Center | 1 Coca Cola Plz Nw, Atlanta, GA 30313 | 2014-10-22 |
| 1124342019 | Professional Speech & Language Therapy, Inc | Clinic/Center | 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 | 2010-03-21 |
| 1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
| 1730155144 | Javonya Donell Clemons | Speech-Language Pathologist | 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 | 2006-02-24 |
| Find all providers in zip 30313 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447308713 | Northside Podiatry, PC | Podiatrist | 5505 Peachtree Dunwoody Rd Ne Ste 420, Atlanta, GA 30342-1713 | 2007-01-05 |
| 1871929893 | Podiatry Care of Georgia | Podiatrist | 415 Armour Dr Ne, 3103, Atlanta, GA 30324-3933 | 2013-09-23 |
| 1881039972 | Atkins Foot & Ankle Center, Inc. | Podiatrist | 2001 Martin Luther King Jr Dr Sw, Suite 300, Atlanta, GA 30310-1101 | 2013-05-03 |
| 1255414520 | Arnita F Avery Dpm PC | Podiatrist | 5825 Glenridge Dr, Building 2, Suite 110, Atlanta, GA 30328-5387 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741632 | Serenity Podiatry and Med Spa LLC | Podiatrist | 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 | 2020-02-11 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1396088803 | Jae Y Shin | Podiatrist | 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 | 2013-04-03 |
| 1598010720 | Swga Foot & Ankle Center | Podiatrist | 415 E 4th Ave Ste B, Cordele, GA 31015-0614 | 2012-07-13 |
| 1548524937 | Swga Foot & Ankle Center | Podiatrist | 922 E Jefferson St Ste D, Americus, GA 31709-4781 | 2012-06-29 |
| 1952667305 | Agape Foot & Ankle Clinic, LLC | Podiatrist | 3693 Wittenburg Ct, Decatur, GA 30034-5507 | 2012-04-10 |
| 1275780199 | Azuka Ifeyinwa Nwaedozie | Podiatrist | 3364 Medina Dr, Jonesboro, GA 30236-6873 | 2008-08-21 |
| 1386804045 | Howard Foot&leg Specialists,pc. | Podiatrist | 12476 Hopewell Rd, Alpharetta, GA 30004-1347 | 2008-06-16 |
| 1356549141 | Dwayne Lay | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2007-07-03 |
| 1710002241 | Personal Foot & Ankle Specialist,pc | Podiatrist | 1820 N Columbia St, Milledgeville, GA 31061-2300 | 2007-03-21 |
| 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.