Georgia Doctors Foot & Leg Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GEORGIA DOCTORS FOOT & LEG CENTER, LLC

Practice address

940 Pio Nono Ave
Macon, GA 31204-4059

Phone

(478) 254-4026

Fax

(478) 254-4031

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Suprihatin Oshiokpekhai

Title

Office Manager

Phone

(478) 328-6466

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Evaristus Igbafe Oshiokpekhai, DPM

  • Podiatrist
  • Warner Robins, GA
  • NPI 1053325480
  NPD

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1609524487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933449",
            "telephone_number": "478-328-6466",
            "fax_number": "478-328-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044059",
            "telephone_number": "478-254-4026",
            "fax_number": "478-254-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DOCTORS FOOT & LEG CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "OSHIOKPEKHAI",
        "authorized_official_first_name": "SUPRIHATIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-328-6466"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000737492E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Dept of Human Resources
• Georgia Dept of Human Resources
• Georgia Dermatology &Skin Cancer Center, PC
• Georgia Detox and Recovery Centers, LLC Macon
• Georgia Dialysis Access Center PC
• Georgia Em-I Medical Services PC
• Georgia Em-I Medical Services PC
• Georgia Eye Care Center
• Georgia Family & Care Services, Inc.
• Georgia Heart & Vascular Center PC

• All providers in Macon, GA
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.