Active NPI
Village Podiatry Group, LLC
- Podiatrist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- VILLAGE PODIATRY GROUP, LLC
- Practice address
- 3515 Dallas Hwy SW
Marietta, GA 30064-2094 - Phone
- (770) 499-0080
- Fax
- (770) 499-0570
- NPI assigned
- Sep 22, 2010
- Last updated
- Sep 15, 2011
- Organization subpart
- Yes
- Parent organization
- EXTREMITY HEALTHCARE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David N. Helfman, D.P.M.
- Title
- C.E.O.
- Phone
- (770) 384-0284
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
3515 Dallas Hwy SW
Marietta, GA 30064-2094
Mailing address
900 Circle 75 Pkwy.
Ste. 900
Atlanta, GA 30339-3084
Phone (770) 384-0284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101206000689 | GA | DME Supplier - Physician - Podiatry | 4587646971 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Powder Springs, GA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
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.
-
- Podiatrist
- Smyrna, GA
- NPI 1629073481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316044800000",
"number": "1063720274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY.",
"address_2": "STE. 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393084",
"telephone_number": "770-384-0284",
"fax_number": "404-446-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 DALLAS HWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642094",
"telephone_number": "770-499-0080",
"fax_number": "770-499-0570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE PODIATRY GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EXTREMITY HEALTHCARE INC.",
"enumeration_date": "2010-09-22",
"last_updated": "2011-09-15",
"status": "A",
"authorized_official_last_name": "HELFMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "770-384-0284",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.