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MR. JON DARRYL PITTS DPM NPI 1518943059


NPI Information

NPI: 1518943059
Provider Name: MR. JON DARRYL PITTS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
5491 ROSWELL RD
STE B
ATLANTA, GA
ZIP 30342
Phone: (404) 252-6662
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MR. Jon Darryl Pitts, DPM is a podiatrist in Atlanta, GA. The provider is 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. MR. Jon Darryl Pitts, DPM NPI is 1518943059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5491 ROSWELL RD
STE B
ATLANTA, GA
ZIP 30342
Phone: (404) 252-6662
Fax: (404) 252-2727

The enumeration date for this NPI number is 12/16/2005 and was last updated on 5/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPOD000877GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP3733MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2000838131MEDICAIDGEORGIA
31301890001MEDICARE NSCGEORGIA
4U76309MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.