The Foot and Ankle Group PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

GRP2839 Issued in GA

Legal business name

THE FOOT AND ANKLE GROUP PC

Practice address

1515 Laney Walker Blvd
Augusta, GA 30904-5827

Phone

(706) 724-0586

Fax

(706) 724-4468

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kile Woodrow Kinney, DPM

Title

Corporation President

Phone

(706) 724-0586

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 11

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

• Kent E Kronowski, DPM

  • Primary Podiatric Medicine Podiatrist
  • Augusta, GA
  • NPI 1881745842

  GA, Primary Podiatric Medicine

  Medicare reassignment NPD
• Mary L Ottinger, DPM

  • Primary Podiatric Medicine Podiatrist
  • Augusta, GA
  • NPI 1821149782

  GA, Primary Podiatric Medicine

  Medicare reassignment NPD
• Mohammed Qureshi, DPM

  • Podiatrist
  • Augusta, GA
  • NPI 1578057642

  GA, Podiatrist

  Medicare reassignment NPD
• Kirmanj Tahsin Atrushi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Jackson, CA
  • NPI 1871026179

  Foot & Ankle Surgery

  NPD
• Brandis Bannister, FNP

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1275943581
  NPD (past)
• Oladapo O Fawibe I, MD

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1225031651
  NPD (past)
• Abiy Dessalegn Mekoya, MD

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1023064938
  NPD (past)
• Christopher Paul, MD

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1114199932
  NPD (past)
• Ashley Janae Thomas, PA-C

  • Medical Physician Assistant
  • Augusta, GA
  • NPI 1740515063
  NPD (past)
• Dana Denise Wicker, NP

  • Nurse Practitioner
  • Augusta, GA
  • NPI 1407484751
  NPD (past)
• Emmanuel Osei-Boamah, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1639282460
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1720139710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045827",
            "telephone_number": "706-724-0586",
            "fax_number": "706-724-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045827",
            "telephone_number": "706-724-0586",
            "fax_number": "706-724-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT AND ANKLE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "KILE",
        "authorized_official_middle_name": "WOODROW",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "706-724-0586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "GRP2839",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "GA",
            "license": "GRP2839",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "GA",
            "license": "GRP2839",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "GRP2839",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "1196250004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032875A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Augusta, GA
• Primary Podiatric Medicine Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.

Verify at the official NPI Registry.