Athens Family Foot Care

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

POD000733 Issued in GA

Legal business name

ATHENS FAMILY FOOT CARE

Practice address

1060 Gaines School Rd
Ste B -3
Athens, GA 30605-3198

Phone

(706) 549-3668

Fax

(706) 613-5069

NPI assigned

Jul 10, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Prince Herron

Title

Office Director

Phone

(706) 549-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Marshall Todd Herron, DPM

  • Podiatrist
  • Athens, GA
  • NPI 1225003064
  Medicare reassignment NPD
• Anthony Roy Gordon, DPM

  • Foot Surgery Podiatrist
  • Athens, GA
  • NPI 1386602464
  NPD (past)
• Luis David Rojas, D.C.

  • Chiropractor
  • Douglas, GA
  • NPI 1265568836
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1083812200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD",
            "address_2": "STE -3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053198",
            "telephone_number": "706-549-3668",
            "fax_number": "706-613-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAINES SCHOOL RD",
            "address_2": "STE B -3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053198",
            "telephone_number": "706-549-3668",
            "fax_number": "706-613-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS FAMILY FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE HERRON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "706-549-3668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "POD000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000627228B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athens Dublin Area Dermatology, PC (Athens Area Dermatology)
• Athens Endoscopy, LLC
• Athens Eye Care LLC (Thomas Eye Center)
• Athens Eye Consultants LLC
• Athens Eye Surgery Center,LLC
• Athens Family Medicine
• Athens Family Medicine LLC
• Athens Free Clinic
• Athens Ga Homecare, LLC
• Athens Gastroenterology Association

• Durable Medical Equipment & Medical Supplies in Athens, GA
• Providers in Athens, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.