NPIMap

Organization Active NPI

North Georgia Foot and Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Jasper, GA
National Provider Identifier
1467551432
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00536 Issued in GA
Legal business name
NORTH GEORGIA FOOT AND ANKLE CLINIC PC
Practice address
51 Gordon Rd
Suite 203
Jasper, GA 30143-7104
Phone
(770) 999-0804
Fax
(770) 999-0814
NPI assigned
Sep 22, 2006
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Bret J Hintze, D.P.M.NPI 1871581116
Title
Doctor/Owner
Phone
(770) 999-0804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00536 GA Primary

Addresses

Primary practice location

51 Gordon Rd
Suite 203
Jasper, GA 30143-7104

Mailing address

51 Gordon Rd
Suite 203
Jasper, GA 30143-7104
Phone (770) 999-0804

Other identifiers 1

IdentifierTypeStateIssuer
CJ2536OtherMEDICARE RAILROAD

Other names 1

  • Holcomb's Foot & Leg Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

620 J L White Dr
Jasper, GA 30143
Phone (706) 692-9080

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1467551432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GORDON RD",
            "address_2": "SUITE 203",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437104",
            "telephone_number": "770-999-0804",
            "fax_number": "770-999-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GORDON RD",
            "address_2": "SUITE 203",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437104",
            "telephone_number": "770-999-0804",
            "fax_number": "770-999-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA FOOT AND ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "HINTZE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-999-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "00536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ2536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holcomb's Foot & Leg Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.