VILLAGE PODIATRY GROUP, LLC. (NPI# 1285727438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285727438 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, LLC. |
| Practice Address |
100 Greystone Power Blvd Dallas GA 30157-0908 |
| Mailing Address |
900 Circle 75 Pkwy. Se Suite 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7709437877 |
| Practice Fax Number | 7709438809 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 7704327638 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | DAVID N. HELFMAN (CEO) |
| Authorized Official Telephone | 6784262171 |
| 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 | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE GRP NBR | CL1536 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104203710 | Village Podiatry Group, LLC. | Podiatrist | 4450 Calibre Crossing Nw, Suite #1130, Acworth, GA 30101-4104 | 2015-05-04 |
| 1952548836 | Village Podiatry Group, LLC. | Podiatrist | 510 N. Cobb Street, Milledgeville, GA 31061-2635 | 2009-01-14 |
| 1437396447 | Village Podiatry Group, LLC. | Podiatrist | 3556 Riverside Drive, Macon, GA 31210-2509 | 2009-01-13 |
| 1265525406 | Village Podiatry Group, LLC. | Podiatrist | 3931 Highway 78 W, Suite B-100, Snellville, GA 30039-3907 | 2006-10-02 |
| 1356442537 | Village Podiatry Group, LLC. | Podiatrist | 1505 Northside Blvd., Suite 2600, Cumming, GA 30041-6012 | 2006-09-26 |
| 1912006909 | Village Podiatry Group, LLC. | Podiatrist | 3200 Highlands Pkwy., Ste. 100, Smyrna, GA 30082-5192 | 2006-09-22 |
| 1669582672 | Village Podiatry Group, LLC. | Podiatrist | 2045 Peachtree Road, Suite 810, Atlanta, GA 30309-1161 | 2006-08-30 |
| 1043264476 | Village Podiatry Group, LLC. | Podiatrist | 2950 Stone Hogan Road Connector Sw, Ste. A, Atlanta, GA 30331-2837 | 2006-05-20 |
| 1467985382 | Village Podiatry Group, LLC. | Podiatrist | 2368 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4030 | 2017-04-07 |
| 1912443201 | Village Podiatry Group, LLC. | Podiatrist | 1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2017-01-11 |
| Street Address |
100 GREYSTONE POWER BLVD |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-0908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619361318 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 100 Greystone Power Blvd, Dallas, GA 30157-0908 | 2015-03-20 |
| 1467614438 | Sadia Mahmood Ali | Podiatrist | 100 Greystone Power Blvd, Dallas, GA 30157-0908 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1235658659 | Eldercare Services, LLC | Podiatrist | 9540 Garland Rd Ste 123, Dallas, TX 75218-5004 | 2017-09-18 |
| 1033668173 | Amanda Killeen | Podiatrist | 5323 Harry Hines Blvd # F4.310, Dallas, TX 75390-0001 | 2016-09-30 |
| 1841606506 | Feetbeyond, Inc. | Podiatrist | 13331 Preston Rd Ste 2016, Dallas, TX 75240-1131 | 2014-07-02 |
| 1801065776 | Southwest Podiatry, LLP | Podiatrist | 7777 Forest Ln Ste C435, Dallas, TX 75230-6842 | 2008-02-26 |
| 1568667962 | Ashley K Meusa | Podiatrist | 2922 Mlk Jr Blvd Bldg B, Dallas, TX 75215-2321 | 2007-06-18 |
| 1871707927 | Gary Jay Kaiserman | Podiatrist | 2431 W Kiest Blvd, Dallas, TX 75233-2305 | 2007-05-09 |
| 1790998243 | Vera Stern | Podiatrist | 5925 Forest, #130, Dallas, TX 75230 | 2007-05-08 |
| 1336270826 | Lonnie Schwartz | Podiatrist | 4137 Stanford Ave, Dallas, TX 75225-6930 | 2007-03-08 |
| 1477690071 | Barry Schrager, Dpm, P.a. | Podiatrist | 5459 La Sierra, 101, Dallas, TX 75230 | 2007-01-31 |
| 1558439026 | Willie Larry Lundy | Podiatrist | 2416 Martin Luther King Jr Blvd, Dallas, TX 75215-2303 | 2006-12-01 |
| Find all providers in DALLAS | ||||
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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.