Active NPI
Podiatry Medical Surgical LLC
- Foot & Ankle Surgery Podiatrist
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PODIATRY MEDICAL SURGICAL LLC
- Practice address
- 50 Berwick Blvd Ste 220
Savannah, GA 31419-8483 - Phone
- (912) 301-2880
- Fax
- (888) 830-1576
- NPI assigned
- Apr 28, 2022
- 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. Thomas John Legacki III
- Title
- D.P.M.
- Phone
- (912) 301-2880
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
50 Berwick Blvd Ste 220
Savannah, GA 31419-8483
Mailing address
203 Marshview Dr
Richmond Hill, GA 31324-6205
Phone (912) 301-2880
Other practice location 1
481 Elma G Miles Pkwy Ste C
Hinesville, GA 31313-4004
Phone (912) 301-2880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003186112C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
50 Berwick Blvd
Ste 220
Savannah, GA 31419
Phone (276) 620-4772
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFCICD
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Foot & Ankle Surgery Podiatrist
- Hinesville, GA
- NPI 1689595803
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Savannah, GA
- NPI 1750652442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1639814304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MARSHVIEW DR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246205",
"telephone_number": "912-301-2880",
"fax_number": "888-830-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BERWICK BLVD STE 220",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314198483",
"telephone_number": "912-301-2880",
"fax_number": "888-830-1576"
}
],
"practiceLocations": [
{
"address_1": "481 Elma G Miles Pkwy Ste C",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313134004",
"country_code": "US",
"telephone_number": "912-301-2880",
"fax_number": "888-830-1576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PODIATRY MEDICAL SURGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "LEGACKI",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "D.P.M.",
"authorized_official_telephone_number": "912-301-2880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003186112C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.