Organization Active NPI

26 Medical, LLC

  • Foot & Ankle Surgery Podiatrist
  • Grovetown, GA
National Provider Identifier
1326594888
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001056 Issued in GA
Legal business name
26 MEDICAL, LLC
Doing business as
26 Foot and Ankle, Grovetown
26 Foot and Ankle, Madison
26 Foot and Ankle, Martinez
Practice address
202 Insperon Dr Ste 202
Grovetown, GA 30813-0602
Phone
(706) 597-0102
Fax
(706) 257-0258
NPI assigned
Aug 25, 2016
Organization subpart
Yes
Parent organization
26 MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Hope Spivey
Title
Billing Coordinator
Phone
(706) 597-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD001056 GA Primary

Addresses

Primary practice location

202 Insperon Dr Ste 202
Grovetown, GA 30813-0602

Mailing address

6350 Lake Oconee Pkwy Ste 110
Greensboro, GA 30642-6490
Phone (706) 597-0102

Other identifiers 1

IdentifierTypeStateIssuer
1326594888OtherGAPODIATRY

Other names 3

  • 26 Foot and Ankle, Grovetown Doing business as
  • 26 Foot and Ankle, Madison Doing business as
  • 26 Foot and Ankle, Martinez Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170717003691 GA DME Supplier - Physician - Podiatry 0244500619 Practice locations: Grovetown, GA
O20180612003317 GA Part B Supplier - Clinic/Group Practice 0244500619 Receives reassigned benefits from 7 practitioners
Practice locations: Martinez, GA; Watkinsville, GA; Eatonton, GA; Grovetown, GA; Athens, GA; Madison, GA

National Provider Directory

National Provider Directory
Part of
26 Medical LLC

Locations

202 Insperon Dr
Ste 202
Grovetown, GA 30813
Phone (706) 257-0257

1043 Washington Rd
Thomson, GA 30824
Phone (706) 595-1461

Practitioners & affiliated clinicians

Practitioners 7

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": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1326594888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAKE OCONEE PKWY STE 110",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306426490",
            "telephone_number": "706-597-0102",
            "fax_number": "706-257-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INSPERON DR STE 202",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308130602",
            "telephone_number": "706-597-0102",
            "fax_number": "706-257-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "26 MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "26 MEDICAL, LLC",
        "enumeration_date": "2016-08-25",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "706-597-0102"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY",
            "identifier": "1326594888",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "26 Foot and Ankle, Grovetown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "26 Foot and Ankle, Madison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "26 Foot and Ankle, Martinez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.