Active NPI
Tennessee Valley Foot and Ankle Center
- Foot & Ankle Surgery Podiatrist
- Fort Oglethorpe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 799
- Legal business name
- TENNESSEE VALLEY FOOT AND ANKLE CENTER
- Practice address
- 102 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3600 - Phone
- (706) 858-0766
- NPI assigned
- May 6, 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. Jonathon Lee Strickler
- Title
- Podiatrist/Owner
- Phone
- (423) 559-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 799 | GA | Primary |
Addresses
Primary practice location
102 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3600
Mailing address
709 Candlewood TRL
Chattanooga, TN 37421-2064
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035007 | Other | GA | BCBS |
| CK8464 | Other | GA | MEDICARE RR |
| 000959857A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930046861 | GA | DME Supplier - Physician - Podiatry | 5193709616 | Practice locations: Ringgold, GA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Foot & Ankle Surgery Podiatrist
- Cleveland, TN
- NPI 1861683351
5193709616
National Provider Directory
National Provider Directory- Tax ID family
- TN Valley Foot and Ankle
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Cleveland, TN
- NPI 1861683351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Cleveland, TN
- NPI 1821190307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1174799431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 CANDLEWOOD TRL",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 GROSS CRESCENT CIR",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307423600",
"telephone_number": "706-858-0766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE VALLEY FOOT AND ANKLE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "STRICKLER",
"authorized_official_first_name": "JONATHON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PODIATRIST/OWNER",
"authorized_official_telephone_number": "423-559-8000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "035007",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CK8464",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000959857A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.