Organization Active NPI

Podiatry Medical Surgical LLC

  • Foot & Ankle Surgery Podiatrist
  • Hinesville, GA
National Provider Identifier
1689595803
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY MEDICAL SURGICAL LLC
Practice address
481 Elma G Miles Pkwy Ste C
Hinesville, GA 31313-4004
Phone
(912) 301-2880
NPI assigned
Jul 23, 2026
Organization subpart
Yes
Parent organization
PODIATRY MEDICAL SURGICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Thomas John Legacki III, DPMNPI 1750652442
Title
Dr
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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

481 Elma G Miles Pkwy Ste C
Hinesville, GA 31313-4004

Mailing address

481 Elma G Miles Pkwy Ste C
Hinesville, GA 31313-4004
Phone (912) 301-2880

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1689595803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 ELMA G MILES PKWY STE C",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134004",
            "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": "481 ELMA G MILES PKWY STE C",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134004",
            "telephone_number": "912-301-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY MEDICAL SURGICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PODIATRY MEDICAL SURGICAL LLC",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "LEGACKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "912-301-2880",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.