NPIMap

Organization Active NPI

Family Podiatry Center PC

  • Podiatric Clinic/Center
  • Statesboro, GA
National Provider Identifier
1447362298
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
FAMILY PODIATRY CENTER PC
Practice address
95 Bel Air Dr
Statesboro, GA 30461-6879
Phone
(912) 489-8727
Fax
(912) 764-7882
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. Robert William Cushner, DPMNPI 1568480051
Title
Owner/Ceo
Phone
(912) 489-8727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

95 Bel Air Dr
Statesboro, GA 30461-6879

Mailing address

PO Box 1106
Statesboro, GA 30459-1106
Phone (912) 489-8727

Other identifiers 1

IdentifierTypeStateIssuer
0867410001OtherGAMEDICARE DMERC PROVIDER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1447362298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304591106",
            "telephone_number": "912-489-8727",
            "fax_number": "912-764-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BEL AIR DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616879",
            "telephone_number": "912-489-8727",
            "fax_number": "912-764-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "CUSHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "912-489-8727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC PROVIDER",
            "identifier": "0867410001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.