Organization Active NPI

The Foot Care Clinic,LLC

  • Medical Specialty Clinic/Center
  • Rome, GA
National Provider Identifier
1023317559
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
RN111878NP Issued in GA
Legal business name
THE FOOT CARE CLINIC,LLC
Practice address
1850 Redmond Cir NW
Suite 400
Rome, GA 30165-1455
Phone
(706) 509-0011
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Mr. John Eric Shuler
Title
Member/Manager
Phone
(706) 509-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X RN111878NP GA Primary

Addresses

Primary practice location

1850 Redmond Cir NW
Suite 400
Rome, GA 30165-1455

Mailing address

1850 Redmond Cir NW
Suite 400
Rome, GA 30165-1455
Phone (706) 509-0011

National Provider Directory

National Provider Directory

Locations

1850 Redmond Cir NW
Ste 400
Rome, GA 30165
Phone (706) 509-0011

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1023317559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 REDMOND CIR NW",
            "address_2": "SUITE 400",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651455",
            "telephone_number": "706-509-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 REDMOND CIR NW",
            "address_2": "SUITE 400",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651455",
            "telephone_number": "706-509-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT CARE CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "706-509-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "RN111878NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.