Organization Active NPI

Compassionate Podiatry, LLC

  • Podiatrist
  • Augusta, GA
National Provider Identifier
1710421458
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000736G Issued in GA
Legal business name
COMPASSIONATE PODIATRY, LLC
Practice address
3479 Sharon Rd
Augusta, GA 30909-9539
Phone
(706) 738-4604
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Debra D. Morgan, DPM
Title
Owner
Phone
(706) 738-4604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD000736G GA Primary

Addresses

Primary practice location

3479 Sharon Rd
Augusta, GA 30909-9539

Mailing address

3479 Sharon Rd
Augusta, GA 30909-9539
Phone (706) 738-4604

Other practice location 1

954 Navco Rd
Mobile, AL 36605-2413
Phone (502) 244-2441

National Provider Directory

National Provider Directory

Locations

1780 Old Highway 41 NW
Kennesaw, GA 30152
Phone (770) 427-7256

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1710421458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3479 SHARON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099539",
            "telephone_number": "706-738-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3479 SHARON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099539",
            "telephone_number": "706-738-4604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 Navco Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366052413",
            "country_code": "US",
            "telephone_number": "502-244-2441",
            "fax_number": "502-254-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSIONATE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-738-4604",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000736G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.