Active NPI
Podiatry Associates, P.C.
- Foot & Ankle Surgery Podiatrist
- Savannah, GA
National Provider Identifier
1538225602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000456
- Legal business name
- PODIATRY ASSOCIATES, P.C.
- Practice address
- 817 E 66TH St
Savannah, GA 31405-4507 - Phone
- (912) 354-9990
- Fax
- (912) 352-2304
- NPI assigned
- Dec 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Madison Tucker Brawner Sr., D.P.M.
- Title
- President
- Phone
- (912) 354-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000456 | GA | Primary |
Addresses
Primary practice location
817 E 66TH St
Savannah, GA 31405-4507
Mailing address
817 E 66TH St
Savannah, GA 31405-4507
Phone (912) 354-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000178912A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
817 E 66th St
Savannah, GA 31405
Phone (912) 354-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1538225602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 E 66TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054507",
"telephone_number": "912-354-9990",
"fax_number": "912-352-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E 66TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054507",
"telephone_number": "912-354-9990",
"fax_number": "912-352-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-31",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "BRAWNER",
"authorized_official_first_name": "MADISON",
"authorized_official_middle_name": "TUCKER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-354-9990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "000456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000178912A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.