Southern Foot Care Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

80155 Issued in MS

Legal business name

SOUTHERN FOOT CARE INC

Practice address

427 North Jackson St
Brookhaven, MS 39601

Phone

(601) 833-4815

Fax

(601) 833-4871

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Phillip Garbo, DPMNPI 1508870049

Title

Owner Doctor

Phone

(601) 833-4815

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Phillip Garbo, DPM

  • Podiatrist
  • Brookhaven, MS
  • NPI 1508870049
  NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1598865784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 NORTH JACKSON ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-833-4815",
            "fax_number": "601-833-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 NORTH JACKSON ST",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-833-4815",
            "fax_number": "601-833-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GARBO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "601-833-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09586067",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southwest Pharmacy Inc

• All providers in Brookhaven, MS
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.