Organization Active NPI

Greenbriar Foot & Ankle Center LLC

  • Podiatrist
  • Decatur, GA
National Provider Identifier
1083876304
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GREENBRIAR FOOT & ANKLE CENTER LLC
Practice address
4480 Covington Highway
Suite a
Decatur, GA 30034
Phone
(404) 288-4117
Fax
(404) 288-8451
NPI assigned
Jun 27, 2008
Organization subpart
Yes
Parent organization
GREENBRIAR FOOT & ANKLE CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Tobi F Todd, DPM
Title
President
Phone
(404) 288-4117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

4480 Covington Highway
Suite a
Decatur, GA 30034

Mailing address

300 Village Green Circle
Suite 200
Smyrna, GA 30080
Phone (770) 384-0284

National Provider Directory

National Provider Directory
Tax ID family
Greenbriar Foot Ankle Center LLC3 organizations share this tax ID, including this one
Part of
Greenbriar Foot Ankle Center LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1083876304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIRCLE",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-384-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 COVINGTON HIGHWAY",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30034",
            "telephone_number": "404-288-4117",
            "fax_number": "404-288-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIAR FOOT & ANKLE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENBRIAR FOOT & ANKLE CENTER LLC",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "TOBI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-288-4117",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.