FAMILY FOOT AND ANKLE CTR NPI 1124152459

NPI Information

  • NPI: 1124152459
  • Provider Name: FAMILY FOOT AND ANKLE CTR
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 407 BARRINGTON PT
    MACON, GA
    ZIP 31220
  • Phone: (478) 390-2178

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NPI Details

FAMILY FOOT AND ANKLE CTR is a podiatrist in Macon, 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. FAMILY FOOT AND ANKLE CTR NPI is 1124152459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

407 BARRINGTON PT
MACON, GA
ZIP 31220-754
Phone: (478) 390-2178
Fax: (478) 471-0104

The provider's authorized official is Roger Peter Theodore .
The authorized official title is Podiatrist and has the following contact phone number (478) 390-2178.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2024.

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
1213E00000XPodiatristPOD000753GEORGIAYes

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
1480025693OTHERRAILROAD MEDICARE
200655322AMEDICAIDGEORGIA
3480018494OTHERRAILROAD MEDICARE

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: 3/30/2025

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