Organization Active NPI

Middle Georgia Podiatry P.C.

  • Podiatrist
  • Perry, GA
National Provider Identifier
1457149098
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MIDDLE GEORGIA PODIATRY P.C.
Practice address
1118 Morningside Dr Ste a
Perry, GA 31069-4950
Phone
(478) 218-1420
Fax
(478) 218-1423
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Linnea Gann, DPMNPI 1356865489
Title
Owner
Phone
(937) 269-8079

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
Podiatrist 213E00000X Primary

Addresses

Primary practice location

1118 Morningside Dr Ste a
Perry, GA 31069-4950

Mailing address

PO Box 28170
Macon, GA 31221-8170
Phone (478) 254-5943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606000304 GA Part B Supplier - Clinic/Group Practice 0648780924 Receives reassigned benefits from 1 practitioner
Practice locations: Perry, GA

National Provider Directory

National Provider Directory

Locations

1118 Morningside Dr
Ste A
Perry, GA 31069
Phone (478) 218-1420

Practitioners & affiliated clinicians

Practitioners 1

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": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1457149098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28170",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312218170",
            "telephone_number": "478-254-5943",
            "fax_number": "478-254-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MORNINGSIDE DR STE A",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694950",
            "telephone_number": "478-218-1420",
            "fax_number": "478-218-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "GANN",
        "authorized_official_first_name": "LINNEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-269-8079",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.