Family Foot and Ankle Ctr

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000753 Issued in GA

Legal business name

FAMILY FOOT AND ANKLE CTR

Practice address

407 Barrington PT
Macon, GA 31220-8754

Phone

(478) 390-2178

Fax

(478) 471-0104

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Roger Peter Theodore, DPMNPI 1154398402

Title

Podiatrist

Phone

(478) 390-2178

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Family Foot and Ankle Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Family Foot and Ankle Center

  • Foot Surgery Podiatrist
  • Macon, GA
  • NPI 1306183280
  NPD tax ID

Practitioners 1

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

• Roger Peter Theodore, DPM

  • Podiatrist
  • Macon, GA
  • NPI 1154398402
  NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1124152459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MULBERRY ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016756",
            "telephone_number": "478-741-1192",
            "fax_number": "478-741-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BARRINGTON PT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312208754",
            "telephone_number": "478-390-2178",
            "fax_number": "478-471-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "478-390-2178",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480025693",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00655322A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480018494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Solutions Inc
• Family Counseling Center
• Family Counseling Center of Central Ga., Inc.
• Family Counseling Center of Central Ga., Inc.
• Family Foot and Ankle Center
• Family Health Care of Macon, P.C.
• Family Hospice Macon, LLC
• Family Medicine at Northside LLC
• Family of Life Healthcare, LLC
• Family Specialty Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.