Organization Active NPI

Ankle & Foot Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Waycross, GA
National Provider Identifier
1356492599
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ANKLE & FOOT ASSOCIATES, LLC
Practice address
501 W Oneida St
Waycross, GA 31501-5337
Phone
(912) 283-6471
Fax
(912) 283-3590
NPI assigned
Jan 15, 2007
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
David P Murphy, D.P.M.NPI 1194755447
Title
President
Phone
(912) 283-6471

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

501 W Oneida St
Waycross, GA 31501-5337

Mailing address

501 W Oneida St
Waycross, GA 31501-5337
Phone (912) 283-6471

Other identifiers 1

IdentifierTypeStateIssuer
DB3610OtherGARAILROAD MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040624000900 GA Part B Supplier - Clinic/Group Practice 1355327107 Receives reassigned benefits from 27 practitioners
Practice locations: Jesup, GA; Waycross, GA; Tifton, GA; Hinesville, GA; Douglas, GA
O20100930043977 GA DME Supplier - Physician - Podiatry 1355327107 Practice locations: Waycross, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ankle and Foot Associates L13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

204 Westside Dr
Douglas, GA 31533
Phone (912) 384-4121

331 Peachtree St
Jesup, GA 31545
Phone (912) 427-9990

94 Andrews Way
Saint Marys, GA 31558
Phone (912) 729-6821

5102 Paulsen St
Bldg 3
Savannah, GA 31405
Phone (912) 350-7914

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1356492599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W ONEIDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015337",
            "telephone_number": "912-283-6471",
            "fax_number": "912-283-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W ONEIDA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015337",
            "telephone_number": "912-283-6471",
            "fax_number": "912-283-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE & FOOT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-283-6471",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB3610",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.