VILLAGE PODIATRY GROUP, LLC (NPI# 1770920647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770920647 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, LLC |
| Practice Address |
11459 Johns Creek Pkwy Ste. 260 Johns Creek GA 30097-3515 |
| Mailing Address |
900 Circle 75 Pkwy Ste. 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7702325030 |
| Practice Fax Number | 7704959993 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | DAVID N. HELFMAN (CEO/PRESIDENT) |
| 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 | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| 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 |
| 1245796523 | Village Podiatry Group, LLC | Clinic/Center | 625 Cook St Ste 617, Royston, GA 30662-3932 | 2019-02-12 |
| 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 |
| Street Address |
11459 JOHNS CREEK PKWY STE. 260 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895762 | Jerry Yuan | Urology | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 | 2006-03-16 |
| 1255725958 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 11459 Johns Creek Pkwy, Ste. 260, Johns Creek, GA 30097-3515 | 2015-03-20 |
| 1992042402 | Kelly D Caulley | Nurse Practitioner | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2013-01-04 |
| 1093096869 | Joy Page | Nurse Practitioner | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2011-09-07 |
| 1861794265 | Georgia Urology Infertility Services | Urology | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 | 2010-11-17 |
| 1689847543 | Georgia Urology Pa | Urology | 11459 Johns Creek Pkwy, Suite 170, Johns Creek, GA 30097-3515 | 2008-04-10 |
| 1184829681 | Atlanta Vision Institute PC | Ophthalmology | 11459 Johns Creek Pkwy, Johns Creek, GA 30097 | 2007-06-15 |
| 1114041928 | North Chattahoochee Family Physicians, LLC | Family Medicine | 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097-3515 | 2007-03-19 |
| 1407956279 | M. Farooq Ashraf | Ophthalmology | 11459 Johns Creek Pkwy, Suite 100, Johns Creek, GA 30097-3515 | 2006-09-22 |
| 1740297811 | Paul Devere Ellis | Family Medicine | 11459 Johns Creek Pkwy, Ste 250, Johns Creek, GA 30097-3517 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1003850983 | Christopher Russel Corwin | Podiatrist | 11459 Johns Creek Pkwy., Ste. 260, Johns Creek, GA 30097-3515 | 2006-06-15 |
| 1740450071 | Comprehensive Foot & Ankle, LLC | Podiatrist | 6630 Mcginnis Ferry Rd, Suite B, Johns Creek, GA 30097-1542 | 2008-03-03 |
| 1750344909 | Steven T Arminio | Podiatrist | 11459 Johns Creek Pkwy, Ste. 260, Johns Creek, GA 30097-3515 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.