Affinity Foot and Ankle Specialists LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

AFFINITY FOOT AND ANKLE SPECIALISTS LLC

Practice address

110 Hill Pond LN
Statesboro, GA 30458-0872

Phone

(912) 489-3668

NPI assigned

Sep 7, 2016

Last updated

Jan 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristian Jeffress, DPMNPI 1649592585

Title

President/Owner

Phone

(757) 537-8680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Kristian Danielle Jeffress, DPM

  • Foot & Ankle Surgery Podiatrist
  • Statesboro, GA
  • NPI 1649592585
  Medicare reassignment NPD Authorized official
• Elizabeth Anne Putnam, DPM

  • Podiatrist
  • Statesboro, GA
  • NPI 1053684399
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1437606407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580872",
            "telephone_number": "912-489-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "JEFFRESS",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "757-537-8680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Gastroenterolgy, Inc.
• Accucare Medical Equipment, LLC (AeroCare)
• Lily Adamson
• Aishat Abiodun Adewoye
• Advanced Chiropractic & Wellness Center of Statesboro, LLC
• Air Evac EMS Inc (Air Evac Lifeteam)
• Kelli Akins
• Jennifer Ebireri Akpo
• Madison Leigh Akridge, LCSW
• Julie Deal Albright, REGISTERED NURSE

• Podiatric Clinic/Center in Statesboro, GA
• Providers in Statesboro, 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 Jan 20, 2017; 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.