Organization Active NPI

Allied Ankle & Footcare Centers, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Athens, GA
National Provider Identifier
1174798326
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000418 Issued in GA
Legal business name
ALLIED ANKLE & FOOTCARE CENTERS, P.C.
Practice address
650 Oglethorpe Ave
Suite 5
Athens, GA 30606-2216
Phone
(706) 548-2740
Fax
(770) 725-9894
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. James Louis Bouchard, DPM
Title
Medical Director
Phone
(770) 255-0424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD000418 GA Primary

Addresses

Primary practice location

650 Oglethorpe Ave
Suite 5
Athens, GA 30606-2216

Mailing address

PO Box 491658
Lawrenceville, GA 30049-0028
Phone (770) 255-0424

Other identifiers 1

IdentifierTypeStateIssuer
GRP446OtherGAMEDICARE GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1174798326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491658",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490028",
            "telephone_number": "770-255-0424",
            "fax_number": "770-255-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OGLETHORPE AVE",
            "address_2": "SUITE 5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062216",
            "telephone_number": "706-548-2740",
            "fax_number": "770-725-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED ANKLE & FOOTCARE CENTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-255-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP446",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.