NPIMap

Organization Active NPI

Southside Footcare P.C.

  • Podiatric Clinic/Center
  • Savannah, GA
National Provider Identifier
1659516292
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
694 Issued in GA
Legal business name
SOUTHSIDE FOOTCARE P.C.
Practice address
13015 Abercorn St Ste D9
Savannah, GA 31419-1975
Phone
(912) 925-3668
Fax
(912) 925-3688
NPI assigned
Dec 11, 2008
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Craig Kevin Skalla, D.P.M.
Title
Provider
Phone
(912) 925-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 694 GA Primary

Addresses

Primary practice location

13015 Abercorn St Ste D9
Savannah, GA 31419-1975

Mailing address

13015 Abercorn St Ste D9
Savannah, GA 31419-1975
Phone (912) 925-3668

Other identifiers 1

IdentifierTypeStateIssuer
1265570691OtherGAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

13015 Abercorn St
Ste D9
Savannah, GA 31419
Phone (912) 925-3668

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1659516292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13015 ABERCORN ST STE D9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191975",
            "telephone_number": "912-925-3668",
            "fax_number": "912-925-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 ABERCORN ST STE D9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191975",
            "telephone_number": "912-925-3668",
            "fax_number": "912-925-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE FOOTCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "SKALLA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "912-925-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265570691",
            "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 May 11, 2009; 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.