Organization Active NPI

Diabetic Foot Care Specialist of Georgia

  • Primary Podiatric Medicine Podiatrist
  • Atlanta, GA
National Provider Identifier
1053506162
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
POD000681 Issued in GA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Theresa Iola Brown, DPMNPI 1750409231
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)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.