George S Tellam

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 1636 Issued in FL

Legal business name

GEORGE S TELLAM

Doing business as

Ankle & Foot Associates

Practice address

309 Kingsley Lake Dr
# 901
St Augustine, FL 32092-3047

Phone

(904) 269-9595

Fax

(904) 264-5211

NPI assigned

Oct 27, 2015

Last updated

Jul 29, 2020By 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

George Sawday Tellam, DPMNPI 1750319026

Title

Owner/Podiatrist

Phone

(904) 269-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ankle & Foot Associates Doing business as

Electronic endpoints 1

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.

• George Sawday Tellam, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange Park, FL
  • NPI 1750319026
  Authorized official Same address or phone

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1154793339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734742",
            "telephone_number": "904-269-9595",
            "fax_number": "904-264-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR",
            "address_2": "# 901",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923047",
            "telephone_number": "904-269-9595",
            "fax_number": "904-264-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE S TELLAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "TELLAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SAWDAY",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "904-269-9595",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1750319026",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctortellam@gt.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "309 Kingsley Lake Dr",
            "address_2": "# 901",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320923047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle & Foot Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britney Lee Geiger, RN
• Erica Lee Geisel, BCBA
• Katrina Shanell General, APRN
• Genesis Bodywork LLC
• Genesis Health Development, Inc. (Brooks Health Development)
• Ferris E George Jr., MD
• Gerard M. Gerling M.D., P.a.
• Jennifer Hargrave Geric, DMD
• Gerard Michael Gerling, MD
• Elizabeth K Gesenhues, DDS

• Podiatrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.