Grant Austin, CPED

Primary specialty

PedorthistTaxonomy code 224L00000X

License

CPED2311 Issued in GA

Practice address

5035 Florence St
Oakwood, GA 30566-2646

Phone

(770) 539-9474

Fax

(770) 531-1670

NPI assigned

Sep 29, 2017

Last updated

Sep 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1417466749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROOKS DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321763722",
            "telephone_number": "386-236-9672",
            "fax_number": "386-236-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 FLORENCE ST",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662646",
            "telephone_number": "770-539-9474",
            "fax_number": "770-531-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "GRANT",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "GA",
            "license": "CPED2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pedorthist in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Pedorthist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.