Organization Active NPI

Podiatry Group, LLC

  • Podiatrist
  • Charlottesville, VA
National Provider Identifier
1396820486
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY GROUP, LLC
Practice address
600 Peter Jefferson Parkway
Suite 360
Charlottesville, VA 22911
Phone
(434) 979-0763
Fax
(434) 979-8681
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Jimmy Wayne Downing, DPM
Title
Owner Provider
Phone
(434) 979-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

600 Peter Jefferson Parkway
Suite 360
Charlottesville, VA 22911

Mailing address

600 Peter Jefferson Parkway
Suite 360
Charlottesville, VA 22911
Phone (434) 979-0763

Other identifiers 1

IdentifierTypeStateIssuer
CG1858OtherVAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

600 Peter Jefferson Pkwy
Ste 360
Charlottesvle, VA 22911
Phone (434) 979-0456

914 E Jefferson St
Ste G2
Charlottesvle, VA 22902
Phone (434) 296-9600

8401 Mayland Dr
Ste G
Henrico, VA 23294
Phone (804) 762-8716

8401 Mayland Dr
Ste 6
Henrico, VA 23294

11 Stoneridge Dr
Ste 203
Waynesboro, VA 22980

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1396820486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PARKWAY",
            "address_2": "SUITE 360",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-979-0763",
            "fax_number": "434-979-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PARKWAY",
            "address_2": "SUITE 360",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-979-0763",
            "fax_number": "434-979-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "434-979-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG1858",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.