THE FOOT AND ANKLE GROUP PC NPI 1720139710

NPI Information

NPI: 1720139710
Provider Name: THE FOOT AND ANKLE GROUP PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1515 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30904
Phone: (706) 724-0586
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THE FOOT AND ANKLE GROUP PC is a primary podiatric medicine podiatrist in Augusta, GA. THE FOOT AND ANKLE GROUP PC NPI is 1720139710. The provider is registered as an organization entity type.

The provider's business location address is:

1515 LANEY WALKER BLVD
AUGUSTA, GA
ZIP 30904-827
Phone: (706) 724-0586
Fax: (706) 724-4468

The provider's authorized official is Kile Woodrow Kinney .
The authorized official title is Corporation President and has the following contact phone number (706) 724-0586.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 5/7/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		1196250004	GEORGIA	No
2	213ER0200X	Podiatrist	Radiology	GRP2839	GEORGIA	No
3	213ES0000X	Podiatrist	Sports Medicine	GRP2839	GEORGIA	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	GRP2839	GEORGIA	No
5	213EP1101X	Podiatrist	Primary Podiatric Medicine	GRP2839	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300032875A	MEDICAID	GEORGIA
2	CC7848	MEDICARE PIN	GEORGIA
3	=========	OTHER	GEORGIA	TAX ID NUMBER
4	T97767	MEDICARE UPIN	GEORGIA
5	T98310	MEDICARE UPIN	GEORGIA
6	T97703	MEDICARE UPIN	GEORGIA
7	1196250004	MEDICARE NSC
8	T97692	MEDICARE UPIN	GEORGIA
9	GRP2839	MEDICARE PIN	GEORGIA

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

NPI Synchronization or Removal

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