Active NPI
Allied Ankle & Footcare Centers, P.C.
- Foot & Ankle Surgery Podiatrist
- Athens, GA
National Provider Identifier
1174798326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000418
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP446 | Other | GA | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryNPI 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.