Athens Podiatry, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000767 Issued in GA

Legal business name

ATHENS PODIATRY, P.C.

Practice address

3320 Old Jefferson Rd
Building 300, Suite a
Athens, GA 30607-1400

Phone

(706) 546-7417

Fax

(706) 612-1310

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mauro A Rossi, DPMNPI 1891772042

Title

President

Phone

(706) 546-7417

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Mauro Angelo Rossi, DPM

  • Podiatrist
  • Athens, GA
  • NPI 1891772042
  Medicare reassignment NPD Authorized official
• Mario Adrian Rossi, MD

  • Urology Physician
  • Denver, CO
  • NPI 1972525814
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1033285457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 300, SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-546-7417",
            "fax_number": "706-612-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 300, SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-546-7417",
            "fax_number": "706-612-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "MAURO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-546-7417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000679533A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athens Pastoral Counseling Dba Samaritan Counseling Center
• Athens Pediatric Speech, LLC
• Athens Pediatric Therapy Services, Inc
• Athens Pediatric Therapy, Inc.
• Athens Plastic Surgery Center
• Athens Primary Care
• Athens Psychological Services, LLC
• Athens Pulmonary and Allergy, P.C.
• Athens Radiology Associates PC
• Athens Regional Health Center LLC

• Podiatrist in Athens, GA
• Providers in Athens, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.