Organization Active NPI

Greater Alabama Family Foot Care Inc

  • Podiatric Clinic/Center
  • Lanett, AL
National Provider Identifier
1295940260
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
193 Issued in AL
Legal business name
GREATER ALABAMA FAMILY FOOT CARE INC
Practice address
26 Veterans Memorial Pkwy
Lanett, AL 36863-2840
Phone
(334) 642-3668
Fax
(334) 642-3669
NPI assigned
May 13, 2007
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Rona Renell Green, DPMNPI 1659467223
Title
Ceo
Phone
(334) 642-3668

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)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 193 AL Primary

Addresses

Primary practice location

26 Veterans Memorial Pkwy
Lanett, AL 36863-2840

Mailing address

PO Box 1026
Lanett, AL 36863-1026
Phone (334) 642-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000357 AL Part B Supplier - Clinic/Group Practice 5799774394 Receives reassigned benefits from 1 practitioner
Practice locations: Lanett, AL; Roanoke, AL

National Provider Directory

National Provider Directory

Locations

26 Veterans Memorial Pkwy
Lanett, AL 36863
Phone (334) 642-3668

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1295940260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1026",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368631026",
            "telephone_number": "334-642-3668",
            "fax_number": "334-642-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VETERANS MEMORIAL PKWY",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368632840",
            "telephone_number": "334-642-3668",
            "fax_number": "334-642-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ALABAMA FAMILY FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RONA",
        "authorized_official_middle_name": "RENELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-642-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "AL",
            "license": "193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanett, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.