NPIMap

Organization Active NPI

Holcombs Foot and Leg Clinics of Cumming

  • Foot & Ankle Surgery Podiatrist
  • Ellijay, GA
National Provider Identifier
1073586715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000925 Issued in GA
Legal business name
HOLCOMBS FOOT AND LEG CLINICS OF CUMMING
Practice address
97 Hefner St
Ste 202
Ellijay, GA 30540
Phone
(678) 880-0036
Fax
(678) 493-7051
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bret J Hintze, DPMNPI 1871581116
Title
Owner
Phone
(770) 889-9596

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000925 GA Primary

Addresses

Primary practice location

97 Hefner St
Ste 202
Ellijay, GA 30540

Mailing address

236 Atlanta Road
Cumming, GA 30040
Phone (770) 889-9596

Other identifiers 2

IdentifierTypeStateIssuer
52866606003OtherGABCBS
5168230003OtherGADMERC

Other names 1

  • CUMMING FOOT & LEG CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cumming Foot Leg Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

236 Atlanta Rd
Cumming, GA 30040
Phone (770) 889-9596

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073586715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 ATLANTA ROAD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-889-9596",
            "fax_number": "770-889-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HEFNER ST",
            "address_2": "STE 202",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30540",
            "telephone_number": "678-880-0036",
            "fax_number": "678-493-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLCOMBS FOOT AND LEG CLINICS OF CUMMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINTZE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-889-9596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52866606003",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5168230003",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUMMING FOOT & LEG CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.