Active NPI
Podiatry Group, LLC
- Podiatrist
- Charlottesville, VA
National Provider Identifier
1396820486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG1858 | Other | VA | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
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.