Habersham Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000902 Issued in GA

Legal business name

HABERSHAM PODIATRY

Practice address

134B Market Corners Dr
Cornelia, GA 30531-5766

Phone

(706) 776-3132

Fax

(706) 776-2836

NPI assigned

Feb 5, 2008

Last updated

May 11, 2011By 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

Dr. Jana M Rose, DPMNPI 1063438745

Title

Owner

Phone

(706) 776-3132

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

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.

• Jana M Rose, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cornelia, GA
  • NPI 1063438745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1093993735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305310191",
            "telephone_number": "706-776-3132",
            "fax_number": "706-776-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134B MARKET CORNERS DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315766",
            "telephone_number": "706-776-3132",
            "fax_number": "706-776-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABERSHAM PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-776-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "4624980001",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN6573",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871934C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Mountains Community Services
• Georgia Mountains Community Services
• Carly Gilfilian, OTR/L
• Shaneqwa Gipson
• David S Greene, OD
• Emily Hanson, PHARM.D.
• Taylor James Harkness, NP
• James C Harmon, M.D.
• Harrison Macnellis, DMD, LLC
• Kelley Robin Hart

• Podiatrist in Cornelia, GA
• Providers in Cornelia, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.