Advanced Foot Care LLP
Organization Active NPI Foot & Ankle Surgery Podiatrist · Trenton, GA
NPI 1487717286 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1487717286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ADVANCED FOOT CARE LLP
- Practice address
- 80 Oakwood Ave
Trenton, GA 30752-2867 - Phone
- (706) 657-2467
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Melanie Faulkner
- Title
- Billing
- Phone
- (706) 861-2158
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040917000653 | GA | Part B Supplier - Clinic/Group Practice | 5597655654 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dalton, GA; Ft Oglethorpe, GA |
National Provider Directory
Locations
80 Oakwood Ave
Trenton, GA 30752
Phone (706) 657-8291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
80 Oakwood Ave
Trenton, GA 30752-2867
Mailing address
2368 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4030
Phone (706) 861-2158
Other providers in Trenton, GA
- Amedisys Georgia LLC
- Anderson Audiology, Inc.
- Sheena Anderson-Finch
- Lemuel M Arnold
- Jazzmine C Basham
All providers in Trenton, GA · Foot & Ankle Surgery Podiatrist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.