Active NPI
Greater Alabama Family Foot Care Inc
- Podiatric Clinic/Center
- Lanett, AL
National Provider Identifier
1295940260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 193
- 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, 2013
- 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. Rona Renell Green, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.