Eileen Byrd, DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000786 Issued in GA

Legal business name

EILEEN BYRD, DPM PC

Practice address

1136 Cleveland Ave
Suite 305
East Point, GA 30344-3618

Phone

(404) 762-9221

Fax

(404) 762-9223

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eileen ByrdNPI 1346324662

Title

Owner

Phone

(678) 860-9862

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Byrd, DPM

  • Foot Surgery Podiatrist
  • Lawrenceville, GA
  • NPI 1346324662
  Medicare reassignment NPD Authorized official
• Michael Cantrell, DPM

  • Foot Surgery Podiatrist
  • Lithonia, GA
  • NPI 1972627875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1023297256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 305",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-762-9221",
            "fax_number": "404-762-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 305",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-762-9221",
            "fax_number": "404-762-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN BYRD, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-860-9862"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP4637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Point Physicians Group, PC
• East Point Primary Care Center, PC
• Kari Edmond, NP
• Letisha Edwards, DDS
• Christina K Eid, PA
• Martana Eldridge
• Elite Wellness Solutions, LLC
• Shabria Ellenwood
• Charmaine I. Emelife, MD
• Emory Dialysis, LLC

• Podiatrist in East Point, GA
• Providers in East Point, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.