VILLAGE PODIATRY GROUP, P.C. (NPI# 1922197813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922197813 |
| Entity Type | Organization |
| Organization Name | VILLAGE PODIATRY GROUP, P.C. |
| Practice Address |
428 Winn Ct Decatur GA 30030-1726 |
| Mailing Address |
300 Village Green Cir Se Suite 200 Smyrna GA 30080-3451 |
| Practice Telephone | 4042997111 |
| Practice Fax Number | 7702997032 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 7704327638 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | DAVID N. HELFMAN (CEO) |
| Authorized Official Telephone | 7703840284 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | VILLAGE PODIATRY GROUP, P.C. |
| 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 |
|---|---|---|---|---|
| 1407093388 | Village Podiatry Group, P.C. | Podiatrist | 235 Medical Ct., Forsyth, GA 31029-1662 | 2009-01-14 |
| 1952604092 | Village Podiatry Group, P.C. | Podiatrist | 611 Campbell Hill St Nw, Suite 103, Marietta, GA 30060-1386 | 2010-12-13 |
| 1811211030 | Village Podiatry Group, P.C. | Podiatrist | 59 Tipton Dr, Dahlonega, GA 30533-1603 | 2010-03-17 |
| 1376779322 | Village Podiatry Group, P.C. | Podiatrist | 960 Johnson Ferry Rd Ne, Suite 310, Atlanta, GA 30342-1631 | 2009-06-04 |
| 1528178530 | Village Podiatry Group, P.C. | Podiatrist | 2850 Hog Mountain Rd, Suite 101, Dacula, GA 30019-1012 | 2006-08-30 |
| Street Address |
428 WINN CT |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063426526 | Robert Kevin Harrell | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-07-28 |
| 1457866535 | Life Cycle Ob/gyn, LLC | Obstetrics & Gynecology | 428 Winn Ct, Decatur, GA 30030-1726 | 2017-12-11 |
| 1932521481 | Ximena Zornosa | Dentist | 428 Winn Ct, Decatur, GA 30030-1726 | 2014-01-16 |
| 1962669093 | Vpg 1, LLC | Podiatrist | 428 Winn Ct, Decatur, GA 30030-1726 | 2008-05-16 |
| 1497888499 | Pathology Lab of Georgia, LLC | Clinical Medical Laboratory | 428 Winn Ct, Decatur, GA 30030-1726 | 2007-03-13 |
| 1780789297 | Jo Marie Lyons | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-09-13 |
| 1225130800 | Emerson E Harrison | Urology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1083876304 | Greenbriar Foot & Ankle Center LLC | Podiatrist | 4480 Covington Highway, Suite A, Decatur, GA 30034 | 2008-06-27 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1811916497 | Howard M Bryant | Podiatrist | 2575 Snapfinger Rd Ste D, Decatur, GA 30034-2300 | 2006-07-18 |
| 1003846718 | Suzette Andrean Clements | Podiatrist | 4535 Flat Shoals Pkwy, Suite # 301, Decatur, GA 30034-5039 | 2006-07-05 |
| 1538103403 | Jonathan Mark Smith | Podiatrist | 145 S 2nd St, Decatur, IN 46733-1664 | 2006-06-15 |
| 1427014034 | Craig Allen Murad | Podiatrist | 1481 Oakridge Cir, Decatur, GA 30033-2137 | 2006-04-22 |
| 1598230690 | Nickil Nayee | Podiatrist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-10-04 |
| 1417458357 | Karen Moon | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2018-02-26 |
| Find all providers in DECATUR | ||||
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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.