Organization Active NPI

J3P LLC

Doing business as United Foot and Leg

  • Foot Surgery Podiatrist
  • Peachtree Corners, GA
National Provider Identifier
1417610874
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
J3P LLC
Doing business as
United Foot and Leg
Practice address
3867 Holcomb Bridge Rd Ste 300
Peachtree Corners, GA 30092-2302
Phone
(678) 694-1234
Fax
(678) 691-2597
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Patricia Whitmore, DPM
Title
Ceo
Phone
(678) 694-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

3867 Holcomb Bridge Rd Ste 300
Peachtree Corners, GA 30092-2302

Mailing address

3867 Holcomb Bridge Rd Ste 300
Peachtree Corners, GA 30092-2302
Phone (678) 694-1234

Other names 1

  • UNITED FOOT AND LEG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000431 GA Part B Supplier - Clinic/Group Practice 6507258555 Receives reassigned benefits from 2 practitioners
Practice locations: Peachtree Corners, GA; Stonecrest, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1417610874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 HOLCOMB BRIDGE RD STE 300",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922302",
            "telephone_number": "678-694-1234",
            "fax_number": "678-691-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 HOLCOMB BRIDGE RD STE 300",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922302",
            "telephone_number": "678-694-1234",
            "fax_number": "678-691-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J3P LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-694-1234",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED FOOT AND LEG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.