VILLAGE PODIATRY GROUP, LLC (NPI# 1245796523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245796523 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, LLC |
| Practice Address |
625 Cook St Ste 617 Royston GA 30662-3932 |
| Mailing Address |
900 Circle 75 Pkwy Se Ste 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7623382333 |
| Practice Fax Number | 7623382342 |
| Mailing Telephone | 6784262171 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | DAVID N. HELFMAN (CEO) |
| Authorized Official Telephone | 7703840284 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTREMITY HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Village Podiatry Centers | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1902243603 | Village Podiatry Group, LLC | Podiatrist | 771 Old Norcross Rd, Ste. 355, Lawrenceville, GA 30046-4386 | 2013-06-04 |
| Street Address |
625 COOK ST STE 617 |
| City | ROYSTON |
| State | GA |
| Zip Code | 30662-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942681754 | Sahar Mahzoon | Podiatrist | 625 Cook St Ste 617, Royston, GA 30662-3932 | 2015-06-17 |
| 1659918969 | Village Podiatry Group II, LLC. | Podiatrist | 625 Cook St Ste 617, Royston, GA 30662-3932 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073053963 | Crystal Roach | Occupational Therapist | 874 Halley Rd., Royston, GA 30662 | 2017-02-27 |
| 1477965358 | Community Care Pharmacy of Royston | Pharmacy | 635 Cook Street, Royston, GA 30662 | 2014-05-27 |
| 1407919731 | Abby H Bedichek | Occupational Therapist | 613 Cook Street, Royston, GA 30662 | 2006-12-18 |
| 1215005053 | Julian Douglas Sharpton | Family Medicine | 891 Church Street, Royston, GA 30662 | 2006-12-01 |
| 1043306509 | Diane Veronica Lewis | Licensed Practical Nurse | 1025 Cromers Bridge Road, Royston, GA 30662 | 2006-10-04 |
| 1154351591 | Shalimar Sheree Crowe | Specialist/Technologist | 181 Spring St, Royston, GA 30662 | 2006-07-03 |
| 1497735328 | Laurie Martin-kiser | Nurse Practitioner | 819 Church Street, Royston, GA 30662 | 2006-01-18 |
| 1619034584 | Patricia Kieley Adkins | Psychologist | 613 Cook Street, Royston, GA 30662 | 2007-01-02 |
| 1487719688 | Robin Turner Vining | Speech-Language Pathologist | 613 Cook St, Royston, GA 30662 | 2006-12-27 |
| 1528175593 | Ty Cobb Healthcare System | Skilled Nursing Facility | 545 Cook Street, Royston, GA 30662-0589 | 2006-08-24 |
| Find all providers in zip 30662 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256794 | Whitney Mcconnell LLC | Clinic/Center | 2600 Wildwood Dr, Brunswick, GA 31520-4249 | 2020-02-11 |
| 1801304662 | Hc Podiatry, LLC | Clinic/Center | 1870 The Exchange Se Ste 200, Atlanta, GA 30339-2021 | 2018-01-15 |
| 1508384892 | Eldridge Podiatry and Diabetes Center, LLC | Clinic/Center | 910 Dannon Vw Sw Ste 2201, Atlanta, GA 30331-2156 | 2017-09-06 |
| 1306221106 | Courtney Glenn Dpm LLC | Clinic/Center | 1574 Friendship Rd # 200, Hoschton, GA 30548-4146 | 2015-07-22 |
| 1659516292 | Southside Footcare P.C. | Clinic/Center | 13015 Abercorn St Ste D9, Savannah, GA 31419-1975 | 2008-12-11 |
| 1669626735 | Podiatry Associates of Georgia P C | Clinic/Center | 5200 Greystone Summit Dr, Suite #1010, Columbus, GA 31909-7541 | 2008-11-15 |
| 1588858922 | Webb's Foot and Wound Care Clinic, LLC | Clinic/Center | 2907 Watson Blvd Ste I, #184, Warner Robins, GA 31093-8513 | 2007-08-29 |
| 1154536126 | South Fulton Family Foot Care, Inc. | Clinic/Center | 67 W Campbellton St, Fairburn, GA 30213-1338 | 2007-05-13 |
| 1386869386 | Midtown Surgical Center, LLC | Clinic/Center | 906 Abercorn St, Savannah, GA 31401-5912 | 2007-04-16 |
| 1376668020 | Family Podiatry Center PC | Clinic/Center | 1804 Seminole Drive, Vidalia, GA 30474 | 2007-03-20 |
| 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.