Village Podiatry Group, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

VILLAGE PODIATRY GROUP, LLC

Practice address

1000 Cowles Clinc Way
Cypress Building, Suite C-300
Greensboro, GA 30642-5285

Phone

(706) 453-9930

Fax

(706) 453-9990

NPI assigned

Oct 2, 2006

Organization subpart

Yes

Parent organization

EXTREMITY HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

David N. Helfman, DPM

Title

Ceo

Phone

(678) 426-2171

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.

• La'Genia Mitchell-Smith, DPM

  • Podiatrist
  • Atlanta, GA
  • NPI 1467444570
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1659464899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY.",
            "address_2": "STE. 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINC WAY",
            "address_2": "CYPRESS BUILDING, SUITE C-300",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425285",
            "telephone_number": "706-453-9930",
            "fax_number": "706-453-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PODIATRY GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTREMITY HEALTHCARE, INC.",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "HELFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-426-2171",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP NBR",
            "identifier": "CL1536",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.