Organization Active NPI

The Wound & Podiatry Center

  • Foot Surgery Podiatrist
  • Jackson, MS
National Provider Identifier
1356615512
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
80107 Issued in MS
Legal business name
THE WOUND & PODIATRY CENTER
Practice address
1815 Hospital Dr
Suite 434
Jackson, MS 39204-3425
Phone
(601) 405-5583
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Percy Anderson Jr., DPM, CWS, CMETNPI 1982792198
Title
Ceo/Owner
Phone
(601) 502-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 80107 MS Primary

Addresses

Primary practice location

1815 Hospital Dr
Suite 434
Jackson, MS 39204-3425

Mailing address

1815 Hospital Dr
Suite 434
Jackson, MS 39204-3425
Phone (601) 405-5583

National Provider Directory

National Provider Directory

Locations

1815 Hospital Dr
Ste 434
Jackson, MS 39204
Phone (601) 405-5583

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1356615512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HOSPITAL DR",
            "address_2": "SUITE 434",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043425",
            "telephone_number": "601-405-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HOSPITAL DR",
            "address_2": "SUITE 434",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043425",
            "telephone_number": "601-405-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOUND & PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PERCY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "601-502-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM, CWS, CMET"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.