Golden Isles Foot Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GOLDEN ISLES FOOT SURGERY CENTER

Practice address

10 Professional Dr
Brunswick, GA 31520-3774

Phone

(912) 264-6150

Fax

(912) 264-5712

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Grolemund, RN

Title

Manager

Phone

(912) 264-6150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1043225865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203774",
            "telephone_number": "912-264-6150",
            "fax_number": "912-264-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203774",
            "telephone_number": "912-264-6150",
            "fax_number": "912-264-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES FOOT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "GROLEMUND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-264-6150",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00963597A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Isles Center for General and Bariatric Surgery
• Golden Isles Colon & Rectal Clinic PC
• Golden Isles Dental Associates, LLC
• Golden Isles Dentistry
• Golden Isles Family Healthcare, LLC
• Golden Isles Neurology, PC
• Golden Isles Oral Surgery, L.L.C.
• Golden Isles Pain-MD, LLC
• Golden Isles Palliative Care, Inc.
• Golden Isles Pediatrics Inc

• Ambulatory Surgical Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.