Organization Active NPI

South Georgia Family Foot Institue PC

  • Foot Surgery Podiatrist
  • Thomasville, GA
National Provider Identifier
1548439672
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
000695 Issued in GA
Legal business name
SOUTH GEORGIA FAMILY FOOT INSTITUE PC
Practice address
510 Gordon Ave
Thomasville, GA 31792-6646
Phone
(229) 227-1997
Fax
(229) 227-9389
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Mrs. Joan Dekle, MA
Title
Office Manager
Phone
(229) 227-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 000695 GA Primary

Addresses

Primary practice location

510 Gordon Ave
Thomasville, GA 31792-6646

Mailing address

510 Gordon Ave
Thomasville, GA 31792-6646
Phone (229) 227-1997

National Provider Directory

National Provider Directory

Locations

510 Gordon Ave
Thomasville, GA 31792
Phone (229) 227-1997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1548439672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-227-1997",
            "fax_number": "229-227-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-227-1997",
            "fax_number": "229-227-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GEORGIA FAMILY FOOT INSTITUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "DEKLE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-227-1997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.