Active NPI
Diabetic Foot Care Specialist of Georgia
- Primary Podiatric Medicine Podiatrist
- Atlanta, GA
National Provider Identifier
1053506162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- POD000681
- Legal business name
- DIABETIC FOOT CARE SPECIALIST OF GEORGIA
- Practice address
- 238 Walker St SW
Unit #12
Atlanta, GA 30313-1266 - Phone
- (404) 759-6755
- Fax
- (334) 271-3768
- NPI assigned
- Sep 11, 2007
- Last updated
- Mar 26, 2008
- 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. Theresa Iola Brown, DPM
- Title
- Ceo/Owner
- Phone
- (404) 759-6755
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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | POD000681 | GA | Primary |
Addresses
Primary practice location
238 Walker St SW
Unit #12
Atlanta, GA 30313-1266
Mailing address
238 Walker St SW
Unit #12
Atlanta, GA 30313-1266
Phone (404) 759-6755
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, and the practitioner matching its NPPES authorized official.
-
- Foot Surgery Podiatrist
- Montgomery, AL
- NPI 1750409231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1053506162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 WALKER ST SW",
"address_2": "UNIT #12",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303131266",
"telephone_number": "404-759-6755",
"fax_number": "334-271-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 WALKER ST SW",
"address_2": "UNIT #12",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303131266",
"telephone_number": "404-759-6755",
"fax_number": "334-271-3768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC FOOT CARE SPECIALIST OF GEORGIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "IOLA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "404-759-6755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "GA",
"license": "POD000681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Neil Dhruv, MD
- Pooja Nimish Dhruva, MD
- Christina Di Natale, SAA
- Diabetes Association of Atlanta
- Diabetes Reimbursement Specialists
- Diagnostic Health Corporation (Diagnostic Health Atlanta)
- Diagnostic Imaging Specialists PA
- Diagnostic Radiology Ultrasound & Breast Center, P.C.
- Diagnostics Imaging Services, LC (OMI Diagnostics)
- Abdoulaye Diallo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.