North Ga Podiatric Medicine and Surgery

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0508570001 Issued in GA

Legal business name

NORTH GA PODIATRIC MEDICINE AND SURGERY

Practice address

958A Joe Frank Harris Pkwy SE Ste 106
Cartersville, GA 30120-2129

Phone

(770) 386-1389

Fax

(770) 386-4894

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles J Sidlow, DPM

Title

Podiatrist

Phone

(770) 386-1389

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1588842686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958A JOE FRANK HARRIS PKWY SE STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "770-386-1389",
            "fax_number": "770-386-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958A JOE FRANK HARRIS PKWY SE STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "770-386-1389",
            "fax_number": "770-386-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GA PODIATRIC MEDICINE AND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SIDLOW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "770-386-1389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "0508570001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvie Ngonkane, LPN
• Anh Ngoc Nguyen, NURSE PRACTITIONER
• Kevin Huy Nguyen, DO
• Thoai Hong Nguyen, D.C.
• Christina Nix, FNP
• North Paulding Speech Language Therapy LLC
• Northwest Georgia E.N.T. Inc.
• Northwest Georgia Oncology Centers, PC
• Northwest Georgia Radiation Oncology LLC
• Robert Norton, PH.D.

• Durable Medical Equipment & Medical Supplies in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.