CHARLES JEFFREY SIDLOW D.P.M. NPI 1033179270

NPI Information

  • NPI: 1033179270
  • Provider Name: CHARLES JEFFREY SIDLOW, D.P.M.
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • Address: 958 JOE FRANK HARRIS PKWY SE BLDG A
    SUITE 106
    CARTERSVILLE, GA
    ZIP 30120
  • Phone: (770) 386-1389

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NPI Details

Charles Jeffrey Sidlow, D.P.M. is a primary podiatric medicine podiatrist in Cartersville, GA. Charles Jeffrey Sidlow, D.P.M. NPI is 1033179270. 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:

958 JOE FRANK HARRIS PKWY SE BLDG A
SUITE 106
CARTERSVILLE, GA
ZIP 30120-175
Phone: (770) 386-1389
Fax: (770) 386-4894

The enumeration date for this NPI number is 3/23/2006 and was last updated on 12/19/2012.

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
1213EP1101XPodiatristPrimary Podiatric MedicinePOD000560GEORGIAYes

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
1U19472MEDICARE UPINGEORGIA
2000333803AMEDICAIDGEORGIA
31588842686MEDICARE NSCGEORGIA

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: 11/21/2025

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