Elizabeth Himmelsbach, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001161 Issued in GA

Practice address

535 Chaseridge Dr
McDonough, GA 30253-8326

Phone

(706) 395-5089

Fax

(855) 766-3948

NPI assigned

Aug 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Elizabeth Saly Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Podiatry LLC

  • Podiatrist
  • McDonough, GA
  • NPI 1811239486
  Medicare reassignment NPD Authorized official
• Easy Walk Foot Clinic LLC

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, GA
  • NPI 1508155037
  NPD (past)

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1497061998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CHASERIDGE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538326",
            "telephone_number": "706-395-5089",
            "fax_number": "855-766-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CHASERIDGE DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538326",
            "telephone_number": "706-395-5089",
            "fax_number": "855-766-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELSBACH",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "08306100",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "65 006401",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SALY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary C Hicks, PT
• Highpoint Family Practice, LLC
• Diamond S Hill, PP
• Lauren Hill
• Marquita M Hill
• HNL Solutions Incorported
• Pamela Hobbs
• Sally E Hodges Clanin, L.C.S.W.
• Belinda Stephens Hodges, MD
• Lara Ann Holcomb, PHARMD

• Podiatrist in McDonough, GA
• Providers in McDonough, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.