Organization Active NPI

Jpfo, LLC

  • Foot & Ankle Surgery Podiatrist
  • Valdosta, GA
National Provider Identifier
1235458084
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001085 Issued in GA
Legal business name
JPFO, LLC
Practice address
2410 N Oak St
Valdosta, GA 31602-2533
Phone
(229) 293-8337
Fax
(229) 293-8338
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Jefferson Pearce Futch, D,P.M.
Title
Owner
Phone
(229) 293-8337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD001085 GA Primary

Addresses

Primary practice location

2410 N Oak St
Valdosta, GA 31602-2533

Mailing address

2410 N Oak St
Valdosta, GA 31602-2533
Phone (229) 293-8337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1235458084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-293-8337",
            "fax_number": "229-293-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-293-8337",
            "fax_number": "229-293-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPFO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "FUTCH",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "PEARCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-293-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.