Individual provider Active NPI

Geoffrey Harrison Dye, D.P.M

  • Foot Surgery Podiatrist
  • Pell City, AL
National Provider Identifier
1609146273
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00314 Issued in AL
Practice address
7063 Veterans Pkwy Ste 200
Pell City, AL 35125-5114
Phone
(205) 777-9574
Fax
(205) 814-2334
NPI assigned
Jan 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 718 TN
Foot Surgery Podiatrist 213ES0131X 00314 AL Primary

Addresses

Primary practice location

7063 Veterans Pkwy Ste 200
Pell City, AL 35125-5114

Mailing address

7067 Veterans Pkwy Ste 200
Pell City, AL 35125-5128
Phone (205) 777-9574

Other identifiers 2

IdentifierTypeStateIssuer
00314OtherALALABAMA STATE BOARD OF PODIATRY
718OtherTNTN STATE ACADEMIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015001540 AL Practitioner - Podiatry 1153542238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 Medical W Way
Suite 506
Bessemer, AL 35022-7082
Phone (205) 481-8790

7067 Veterans Pkwy
Suite 220
Pell City, AL 35125-5128
Phone (205) 814-2342

Hospital & facility affiliations

  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue437
Removal of skin lesions1-10
Removal of nail tissue20
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718TNMDEmergency Medicine Physician
00314ALMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Podiatry PC CurrentSince Aug 28, 2014 Accepting new patients
Vulcan Healthcare, LLC Foot Surgery CurrentSince Nov 5, 2021 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 420
Birmingham, AL 35205
Phone (205) 324-8511

833 Saint Vincents Dr
Ste 205
Birmingham, AL 35205
Phone (205) 324-8511

7067 Veterans Pkwy
Ste 220
Pell City, AL 35125
Phone (205) 814-2342

732 Montgomery Hwy
Vestavia Hills, AL 35216

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1609146273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 VETERANS PKWY STE 200",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255128",
            "telephone_number": "205-777-9574",
            "fax_number": "205-814-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 VETERANS PKWY STE 200",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351255114",
            "telephone_number": "205-777-9574",
            "fax_number": "205-814-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "GEOFFREY",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "718",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "00314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE BOARD OF PODIATRY",
            "identifier": "00314",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE ACADEMIC LICENSE",
            "identifier": "718",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.