Active NPI
Feet First Podiatry, LLC
- Foot & Ankle Surgery Podiatrist
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD000981
- Legal business name
- FEET FIRST PODIATRY, LLC
- Practice address
- 440 Charter Blvd Ste 2202
Macon, GA 31210-0705 - Phone
- (478) 741-4332
- Fax
- (478) 741-4343
- NPI assigned
- Sep 9, 2015
- Last updated
- Aug 17, 2020
- 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. Consuela M Williams-Holliday, DPM
- Title
- Physician
- Phone
- (478) 741-4332
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 | POD000981 | GA | Primary |
Addresses
Primary practice location
440 Charter Blvd Ste 2202
Macon, GA 31210-0705
Mailing address
PO Box 4124
Macon, GA 31208-4124
Phone (478) 741-4332
Other practice location 1
2660 Montpelier Ave
Macon, GA 31204-5226
Phone (478) 741-4332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 436532810B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1765 Shurling Dr
Macon, GA 31211
Phone (478) 741-4332
440 Charter Blvd
Ste 2202
Macon, GA 31210
Phone (478) 741-4332
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Macon, GA
- NPI 1780602011
-
- Family Nurse Practitioner
- Warner Robins, GA
- NPI 1659649515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597622400000",
"number": "1649648569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4124",
"city": "MACON",
"state": "GA",
"postal_code": "312084124",
"telephone_number": "478-741-4332",
"fax_number": "478-741-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 CHARTER BLVD STE 2202",
"city": "MACON",
"state": "GA",
"postal_code": "312100705",
"telephone_number": "478-741-4332",
"fax_number": "478-741-4343"
}
],
"practiceLocations": [
{
"address_1": "2660 Montpelier Ave",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312045226",
"country_code": "US",
"telephone_number": "478-741-4332",
"fax_number": "478-741-4343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FEET FIRST PODIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-09",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A",
"authorized_official_last_name": "WILLIAMS-HOLLIDAY",
"authorized_official_first_name": "CONSUELA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "478-741-4332",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD000981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "436532810B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.