Family Podiatry Center PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

2007000326 Issued in GA

Legal business name

FAMILY PODIATRY CENTER PC

Practice address

1804 Seminole Drive
Vidalia, GA 30474

Phone

(912) 537-9864

Fax

(912) 537-2914

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Robert W Cushner, DPMNPI 1568480051

Title

Ceo

Phone

(912) 489-8727

Specialties & licenses 1

Addresses

Tax ID family

Family Podiatry Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Family Podiatry Center PC

  • Podiatrist
  • Swainsboro, GA
  • NPI 1023326220
  NPD tax ID

Locations

Practitioners 1

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

• Robert William Cushner, DPM

  • Podiatrist
  • Statesboro, GA
  • NPI 1568480051
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376668020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591106",
            "telephone_number": "912-489-8727",
            "fax_number": "912-764-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 SEMINOLE DRIVE",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-537-9864",
            "fax_number": "912-537-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUSHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-489-8727",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "2007000326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kyle Ellis, LPC
• Mindy Shook Ellis, ATC
• Embrace Care LLC
• James Ethredge
• Kendrix Jermaine Evans, M.D.
• Family Total Healthcare LLC
• Samuel L. Featherston, MD
• Santoria Shamika Felton, FNP-C
• Dena Ferguson, M.D.
• Henry Leon Ferland III, D.O.

• Podiatric Clinic/Center in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Podiatric Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.