Organization Active NPI

Family Podiatry Center PC

  • Podiatrist
  • Swainsboro, GA
National Provider Identifier
1023326220
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000942 Issued in GA
Legal business name
FAMILY PODIATRY CENTER PC
Practice address
125A Victory Dr
Swainsboro, GA 30401
Phone
(912) 489-8727
Fax
(912) 764-7882
NPI assigned
Sep 22, 2010
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Dr. Robert W Cushner, DPMNPI 1568480051
Title
President / Ceo
Phone
(912) 489-8727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD000942 GA Primary

Addresses

Primary practice location

125A Victory Dr
Swainsboro, GA 30401

Mailing address

95 Bel-Air Drive
Statesboro, GA 30461-6879
Phone (912) 489-8727

National Provider Directory

National Provider Directory
Tax ID family
Family Podiatry Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125A Victory Dr
Swainsboro, GA 30401
Phone (912) 216-0976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1023326220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BEL-AIR DRIVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616879",
            "telephone_number": "912-489-8727",
            "fax_number": "912-764-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125A VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "30401",
            "telephone_number": "912-489-8727",
            "fax_number": "912-764-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "CUSHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "912-489-8727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.