Organization Active NPI

Vulcan Healthcare, LLC

  • Foot Surgery Podiatrist
  • Pell City, AL
National Provider Identifier
1336890250
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
VULCAN HEALTHCARE, LLC
Practice address
7063 Veterans Pkwy # 200
Pell City, AL 35125-5114
Phone
(205) 777-9574
NPI assigned
Jan 12, 2022
Last updated
Jan 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Geoffrey H Dye, DPMNPI 1609146273
Title
President
Phone
(205) 777-9574

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
Foot Surgery Podiatrist 213ES0131X Primary

Addresses

Primary practice location

7063 Veterans Pkwy # 200
Pell City, AL 35125-5114

Mailing address

#376
732 Montgomery Highway
Vestavia, AL 35216
Phone (205) 777-9574

Other identifiers 1

IdentifierTypeStateIssuer
314OtherALAL STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220211000549 AL Part B Supplier - Clinic/Group Practice 3870986086 Receives reassigned benefits from 1 practitioner
Practice locations: Bessemer, AL; Pell City, AL

National Provider Directory

National Provider Directory

Locations

7063 Veterans Pkwy
#200
Pell City, AL 35125
Phone (205) 777-9574

7067 Veterans Pkwy
Ste 220
Pell City, AL 35125
Phone (205) 814-2342

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": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1336890250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#376",
            "address_2": "732 MONTGOMERY HIGHWAY",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-777-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 VETERANS PKWY # 200",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255114",
            "telephone_number": "205-777-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VULCAN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-777-9574",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STATE LICENSE",
            "identifier": "314",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.