Comprehensive Podiatry, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001076 Issued in GA

Legal business name

COMPREHENSIVE PODIATRY, LLC

Practice address

624 El Prado CT
Stone Mountain, GA 30083

Phone

(404) 435-6389

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Tony GayleNPI 1629110473

Title

Owner

Phone

(678) 938-0159

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Podiatry Clinic, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tony Gayle, DPM

  • Podiatrist
  • East Point, GA
  • NPI 1629110473
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1366614752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 EL PRADO CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833822",
            "telephone_number": "404-435-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 EL PRADO CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30083",
            "telephone_number": "404-435-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-938-0159"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Podiatry Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.