Organization Active NPI

Podiatry Associates, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Savannah, GA
National Provider Identifier
1538225602
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000456 Issued in GA
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

Updated by the provider on Jun 18, 2008

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000178912AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.