VILLAGE PODIATRY GROUP, LLC. (NPI# 1912443201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912443201 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, LLC. |
| Other Organization Name | VILLAGE PODIATRY CENTERS |
| Practice Address |
1224 Sherwood Park Dr Ne Gainesville GA 30501-3445 |
| Mailing Address |
900 Circle 75 Pkwy. Suite 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7702870606 |
| Practice Fax Number | 7702870159 |
| Mailing Telephone | 6784262171 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | MITCHELL P. HILSEN (C.O.O.) |
| 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 |
| Other Name | Type Code |
|---|---|
| Village Podiatry Centers | Doing Business As Name - Organization |
| 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 |
| 1285727438 | Village Podiatry Group, LLC. | Podiatrist | 100 Greystone Power Blvd, Dallas, GA 30157-0908 | 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 |
| Street Address |
1224 SHERWOOD PARK DR NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043236706 | Rudolf W Cisco | Podiatrist | 1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2006-07-15 |
| 1144407180 | North Ga Foot and Ankle Spec | Podiatrist | 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1790079069 | North Atlanta Podiatry Grp,pc | Podiatrist | 466 Green St, Gainesville, GA 30501-3312 | 2011-06-04 |
| 1902108053 | Vann Andre Johnson | Podiatrist | 466 Green St Ne, Gainesville, GA 30501-3312 | 2010-11-23 |
| 1366513905 | Wesley Lewis Daniel | Podiatrist | 1975 Beverly Rd, Suite B, Gainesville, GA 30501-2034 | 2006-11-13 |
| 1215008768 | Gainesville Podiatry Clinic, Inc | Podiatrist | 1975 Beverly Road, Suite B, Gainesville, GA 30501-3726 | 2006-11-13 |
| 1184731796 | Loudoun Medical Group PC | Podiatrist | 7430 Heritage Village Plaza, Suite 101, Gainesville, VA 20155 | 2006-08-23 |
| 1710901145 | Roberta Giudice-teller | Podiatrist | 1010 Nw 6th St, Gainesville, FL 32601-4249 | 2006-07-27 |
| 1306862743 | Angel L Cuesta I | Podiatrist | 6831 Nw 11th Pl Ste 3, Gainesville, FL 32605-4259 | 2006-07-15 |
| 1427082544 | John Raymond Heiser | Podiatrist | 915 Nw 56th Terrace, Gainesville, FL 32605 | 2006-07-11 |
| 1649201153 | Jere Anthony Scola IIi | Podiatrist | 4615 Nw 53rd Ave, Gainesville, FL 32653-4885 | 2006-07-05 |
| 1295732741 | Scott Koppel | Podiatrist | 500 Nw 43rd Street, Ste 2, Gainesville, FL 32607-6126 | 2005-06-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.