Active NPI
Brian K. Middleton
- Podiatric Clinic/Center
- Rome, GA
National Provider Identifier
1043494834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- BRIAN K. MIDDLETON
- Practice address
- 211 Redmond Rd NW
Rome, GA 30165-1537 - Phone
- (706) 802-1800
- Fax
- (706) 802-0781
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Middleton, D.P.M.
- Title
- Owner
- Phone
- (706) 802-1800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
211 Redmond Rd NW
Rome, GA 30165-1537
Mailing address
211 Redmond Rd NW
Rome, GA 30165-1537
Phone (706) 802-1800
Other names 1
- Medical Foot Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057166 | GA | DME Supplier - Physician - Podiatry | 4587879937 | Practice locations: Rome, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0959472 | Medical Foot Care Center | Certificate of waiver | Apr 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Rome, GA
- NPI 1679550628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222819200000",
"number": "1043494834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 REDMOND RD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651537",
"telephone_number": "706-802-1800",
"fax_number": "706-802-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 REDMOND RD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651537",
"telephone_number": "706-802-1800",
"fax_number": "706-802-0781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN K. MIDDLETON",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2008-10-01",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-802-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Foot Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.