Organization Active NPI

Gentle Foot Care Inc

  • Foot & Ankle Surgery Podiatrist
  • Hixson, TN
National Provider Identifier
1730169434
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GENTLE FOOT CARE INC
Practice address
1021 Executive Dr
Suite 101
Hixson, TN 37343-7918
Phone
(423) 877-0050
Fax
(423) 877-7791
NPI assigned
Jan 19, 2006
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Lee Mai
Title
Office Manager
Phone
(423) 544-2238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1021 Executive Dr
Suite 101
Hixson, TN 37343-7918

Mailing address

1021 Executive Dr
Suite 101
Hixson, TN 37343-7907
Phone (423) 877-0050

Other identifiers 1

IdentifierTypeStateIssuer
3353471MedicaidTN

Other names 1

  • GENTLE FOOT CARE PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090114000225 TN Part B Supplier - Clinic/Group Practice 3072676238 Receives reassigned benefits from 2 practitioners
Practice locations: Hixson, TN
O20100930028163 TN DME Supplier - Physician - Podiatry 3072676238 Practice locations: Hixson, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1730169434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437907",
            "telephone_number": "423-877-0050",
            "fax_number": "423-877-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EXECUTIVE DR",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437918",
            "telephone_number": "423-877-0050",
            "fax_number": "423-877-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-544-2238"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENTLE FOOT CARE PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.