Gainesville Podiatry Clinic, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GAINESVILLE PODIATRY CLINIC, INC

Practice address

1975 Beverly Road
Suite B
Gainesville, GA 30501-3726

Phone

(770) 536-9908

Fax

(770) 532-7102

NPI assigned

Nov 13, 2006

Last updated

Aug 26, 2008By 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

Wesley Lewis Daniel, D.P.M.NPI 1366513905

Title

President

Phone

(770) 536-9908

Specialties & licenses 1

Addresses

Other identifiers 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.

• Wesley Lewis Daniel, D.P.M.

  • Podiatrist
  • Gainesville, GA
  • NPI 1366513905
  Authorized official Same address or phone

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1215008768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 BEVERLY RD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012034",
            "telephone_number": "770-536-9908",
            "fax_number": "770-532-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 BEVERLY ROAD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013726",
            "telephone_number": "770-536-9908",
            "fax_number": "770-532-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE PODIATRY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-536-9908",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055002335A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville Neurology Group LLC
• Gainesville Pain and Rehabilitation, LLC
• Gainesville Pain Surgery Center LLC
• Gainesville Pharmacy LLC
• Gainesville Physical Therapy LLC
• Gainesville Practice Management, LLC (Pain and Accident Chiropractic - Gainesville)
• Gainesville Procedure Center LLC
• Gainesville Radiology Group, PC
• Gainesville Regional Pathology Associates, PC
• Gainesville Surg Ctr LP

• Podiatrist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.