Premier Podiatry, Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

1099 Issued in GA

Legal business name

PREMIER PODIATRY, INC

Practice address

656 Exchange Circle
Suite 200
Bethlehem, GA 30620-1763

Phone

(678) 963-5950

Fax

(678) 963-0342

NPI assigned

Aug 7, 2012

Last updated

Apr 11, 2013By 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

Dr. Jonnica Shenea Dozier, DPMNPI 1932331956

Title

Ceo/Podiatrist

Phone

(305) 794-9284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 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.

• Jonnica Shenea Dozier, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, GA
  • NPI 1932331956
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1265789424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 EXCHANGE CIRCLE",
            "address_2": "SUITE 200",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201763",
            "telephone_number": "678-963-5950",
            "fax_number": "678-963-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 EXCHANGE CIRCLE",
            "address_2": "SUITE 200",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201763",
            "telephone_number": "678-963-5950",
            "fax_number": "678-963-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "JONNICA",
        "authorized_official_middle_name": "SHENEA",
        "authorized_official_title_or_position": "CEO/PODIATRIST",
        "authorized_official_telephone_number": "305-794-9284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "1099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Bethlehem, GA
• Providers in Bethlehem, GA by specialty
• Podiatric Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.

Verify at the official NPI Registry.