Organization Active NPI

John Wallace Wright,DPM,PC

  • Podiatrist
  • Milledgeville, GA
National Provider Identifier
1124171251
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
575 Issued in GA
Legal business name
JOHN WALLACE WRIGHT,DPM,PC
Practice address
151 N Jefferson St NE
Milledgeville, GA 31061-3415
Phone
(478) 452-7342
Fax
(478) 452-7342
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. John Wallace Wright, DPM
Title
President Ceo
Phone
(478) 452-7342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 575 GA Primary

Addresses

Primary practice location

151 N Jefferson St NE
Milledgeville, GA 31061-3415

Mailing address

151 N Jefferson St NE
Milledgeville, GA 31061-3415
Phone (478) 452-7342

Other identifiers 1

IdentifierTypeStateIssuer
1508861493OtherGAINDIVIDUAL NPI

Other names 1

  • FOOT SPECIALIST Other name

National Provider Directory

National Provider Directory

Locations

1963 Shurling Dr
Macon, GA 31211
Phone (478) 394-6061

151 N Jefferson St NE
Milledgeville, GA 31061
Phone (478) 452-7342

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1124171251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N JEFFERSON ST NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613415",
            "telephone_number": "478-452-7342",
            "fax_number": "478-452-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N JEFFERSON ST NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613415",
            "telephone_number": "478-452-7342",
            "fax_number": "478-452-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WALLACE WRIGHT,DPM,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "478-452-7342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508861493",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT SPECIALIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.