Active NPI
Greater Alabama Family Foot Care, LLC
- Podiatric Clinic/Center
- Roanoke, AL
National Provider Identifier
1558578237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 193
- Legal business name
- GREATER ALABAMA FAMILY FOOT CARE, LLC
- Practice address
- 469 Price St
Roanoke, AL 36274-2104 - Phone
- (334) 863-2530
- Fax
- (334) 642-3669
- NPI assigned
- May 16, 2007
- Last updated
- Apr 20, 2008
- 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. Rona Renell Green, DPM
- Title
- Ceo
- Phone
- (334) 863-2530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 193 | AL | Primary |
Addresses
Primary practice location
469 Price St
Roanoke, AL 36274-2104
Mailing address
PO Box 1026
Lanett, AL 36863-1026
Phone (334) 863-2530
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51510661 | Other | AL | AL BCBS NUMBER |
| 5407030001 | Other | AL | AL DEMERC NUMBER |
| 193 | Other | AL | AL STATE LIC. NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Fairburn, GA
- NPI 1659467223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1558578237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "LANETT",
"state": "AL",
"postal_code": "368631026",
"telephone_number": "334-863-2530",
"fax_number": "334-642-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 PRICE ST",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362742104",
"telephone_number": "334-863-2530",
"fax_number": "334-642-3669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER ALABAMA FAMILY FOOT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "RONA",
"authorized_official_middle_name": "RENELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "334-863-2530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "AL",
"license": "193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BCBS NUMBER",
"identifier": "51510661",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL DEMERC NUMBER",
"identifier": "5407030001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL STATE LIC. NUMBER",
"identifier": "193",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.