Active NPI
Southpoint Podiatry, Inc.
- Podiatrist
- Durham, NC
National Provider Identifier
1255476396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 371
- Legal business name
- SOUTHPOINT PODIATRY, INC.
- Practice address
- 6216 Fayetteville Rd
Suite 104
Durham, NC 27713-6287 - Phone
- (919) 544-3636
- Fax
- (919) 544-3690
- NPI assigned
- Feb 20, 2007
- 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. George Leander Hill, D.P.M.
- Title
- Podiatrist
- Phone
- (919) 544-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 371 | NC | Primary |
Addresses
Primary practice location
6216 Fayetteville Rd
Suite 104
Durham, NC 27713-6287
Mailing address
6216 Fayetteville Rd
Suite 104
Durham, NC 27713-6287
Phone (919) 544-3636
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-52331 | Other | NC | UNITED HEALTHCARE NUMBER |
| 0803P | Other | NC | BCBS NUMBER |
| 890803P | Medicaid | NC |
Other names 1
- South Square Podiatry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255476396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 FAYETTEVILLE RD",
"address_2": "SUITE 104",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136287",
"telephone_number": "919-544-3636",
"fax_number": "919-544-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 FAYETTEVILLE RD",
"address_2": "SUITE 104",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136287",
"telephone_number": "919-544-3636",
"fax_number": "919-544-3690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHPOINT PODIATRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "LEANDER",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "919-544-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NC",
"license": "371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE NUMBER",
"identifier": "27-52331",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "0803P",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890803P",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Square Podiatry",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Durham, NC
- Southern States Staffing Inc
- Southpoint Family Medicine, PLLC
- Southpoint Medicine and Women'S Health Assocates
- Southpoint Opco LLC
- Southpoint Plastic Surgery, PC
- Southpoint Surgery Center LLC
- Southpoint Surgical PLLC
- Southpoint Vision, Christy Byrd, OD, PLLC
- Southwest Durham Family Medicine, PLLC
- Jason Southworth, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.