Fyne Foot Care Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000619 Issued in GA

Legal business name

FYNE FOOT CARE CENTER

Practice address

1710 Central Ave
Augusta, GA 30904-5733

Phone

(706) 373-4402

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Latanya Patterson-Fyne, D.P.M.

Title

Doctor

Phone

(706) 373-4402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Latanya P. Fyne, D.P.M.

  • Podiatrist
  • Augusta, GA
  • NPI 1275643710
  Medicare reassignment NPD

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1043574643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045733",
            "telephone_number": "706-373-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045733",
            "telephone_number": "706-373-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYNE FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON-FYNE",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "706-373-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Robert Fullerton, MD
• Jade Elizabeth Funck, DO
• Rachel Funderburg
• Kung-Hsi Fung, M.D.
• Alan Richard Furness, DMD
• Latanya P. Fyne, D.P.M.
• G. Wilson Enterprise,Inc.
• G.B. Hill & Company
• G.R.a.Y.S. Group, LLC
• G.R.a.Y.S. Group, LLC

• Foot & Ankle Surgery Podiatrist in Augusta, GA
• Providers in Augusta, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.