Organization Active NPI

Sean M Foley MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Johns Creek, GA
National Provider Identifier
1114023694
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SEAN M FOLEY MD PLLC
Practice address
5600 Tenbury Way
Johns Creek, GA 30022-8115
Phone
(888) 708-3885
Fax
(770) 709-3730
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Sean M Foley, MD
Title
Owner
Phone
(501) 256-9084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5600 Tenbury Way
Johns Creek, GA 30022-8115

Mailing address

PO Box 922088
Norcross, GA 30010-2088
Phone (888) 702-3885

Other identifiers 2

IdentifierTypeStateIssuer
003145928BMedicaidGA
003147657AMedicaidFM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1114023694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922088",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300102088",
            "telephone_number": "888-702-3885",
            "fax_number": "770-709-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 TENBURY WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228115",
            "telephone_number": "888-708-3885",
            "fax_number": "770-709-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN M FOLEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-256-9084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003145928B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003147657A",
            "state": "FM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.