The Foot Group P C

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

AL164 Issued in AL

Legal business name

THE FOOT GROUP P C

Practice address

131 W Dublin Dr
Suite a
Madison, AL 35758-1787

Phone

(256) 772-8566

Fax

(256) 774-8211

NPI assigned

Nov 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Tara L. F. Blasingame, D. P. M.NPI 1770565699

Title

President

Phone

(256) 772-8566

Specialties & licenses 2

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Foot Group P C

  • Foot Surgery Podiatrist
  • Athens, AL
  • NPI 1154684819

  O20070530000510

  Same enrollment

Locations

Practitioners 3

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

• Tara L. F. Blasingame, D.P.M.

  • Foot Surgery Podiatrist
  • Madison, AL
  • NPI 1770565699
  Medicare reassignment NPD Authorized official
• Wilnelsia A Awoniyi, DPM

  • Podiatrist
  • Decatur, AL
  • NPI 1396796116
  NPD (past)
• Desiree Jacqueline McGann, DPM

  • Foot Surgery Podiatrist
  • Scottsboro, AL
  • NPI 1932307378
  NPD (past)

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

{
    "created_epoch": "1131840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587254400000",
    "number": "1467433722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6487",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358130487",
            "telephone_number": "256-772-8566",
            "fax_number": "256-774-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W DUBLIN DR",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581787",
            "telephone_number": "256-772-8566",
            "fax_number": "256-774-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT GROUP P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-13",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L. F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-772-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. P. M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "AL164",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FOOT GROUP'S GROUP #",
            "identifier": "051514658",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918270",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FOOT GROUP'S BCBS #",
            "identifier": "051514659",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918240",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PAYEE NUMBER",
            "identifier": "Q112",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontoffice@thefootgrouppc.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "131 W Dublin Dr",
            "address_2": "Suite A",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357581787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Terry a. Burgess
• Kaitlyn Terry, PHARM D.
• Frances Kathleen Tharpe, BCBA, LBA
• The Crafted Path, LLC
• The Family Practice of Madison, PC
• The Full Pitcher
• The Health Care Authority of the City of Huntsville
• The Healthcare Authority of North Alabama
• The Healthcare Authority of the City of Huntsville
• The Imaging Center Inc

• Foot Surgery Podiatrist in Madison, AL
• Providers in Madison, AL by specialty
• Foot Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.