Organization Active NPI

Personal Foot and Ankle Specialist

  • Primary Podiatric Medicine Podiatrist
  • Sandersville, GA
National Provider Identifier
1457308132
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
POD000790 Issued in GA
Legal business name
PERSONAL FOOT AND ANKLE SPECIALIST
Practice address
1240 Ga Highway 15 N
Sandersville, GA 31082-7303
Phone
(478) 552-1086
Fax
(478) 552-6333
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Thuy Giang, DPMNPI 1538151923
Title
President
Phone
(478) 552-1086

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
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X POD000790 GA Primary

Addresses

Primary practice location

1240 Ga Highway 15 N
Sandersville, GA 31082-7303

Mailing address

PO Box 5969
Sandersville, GA 31082-5969
Phone (478) 552-1086

Other identifiers 2

IdentifierTypeStateIssuer
958015OtherGABCBS GA
000723907BMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000508 GA Part B Supplier - Clinic/Group Practice 4486780046 Receives reassigned benefits from 1 practitioner
Practice locations: Milledgeville, GA; Sandersville, GA

National Provider Directory

National Provider Directory

Locations

1820 N Columbia St
Ste E
Milledgeville, GA 31061
Phone (478) 552-1086

1240 GA Highway 15 N
Sandersville, GA 31082
Phone (478) 552-1086

402 S Harris St
Sandersville, GA 31082
Phone (478) 552-1086

Practitioners & affiliated clinicians

Practitioners 1

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1457308132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5969",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310825969",
            "telephone_number": "478-552-1086",
            "fax_number": "478-552-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 GA HIGHWAY 15 N",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310827303",
            "telephone_number": "478-552-1086",
            "fax_number": "478-552-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL FOOT AND ANKLE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "GIANG",
        "authorized_official_first_name": "THUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-552-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD000790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "958015",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000723907B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.