NPIMap

Organization Active NPI

Dr. George S Tellam

Doing business as Ankle & Foot Associates

  • Foot Surgery Podiatrist
  • Orange Park, FL
National Provider Identifier
1730365834
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1636 Issued in FL
Legal business name
DR. GEORGE S TELLAM
Practice address
981 Kingsley Ave
Orange Park, FL 32073-4742
Phone
(904) 269-9595
Fax
(904) 264-5211
NPI assigned
Jan 18, 2008
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Dr. George Tellam, D.P.M.NPI 1750319026
Title
Podiatrist
Phone
(904) 269-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO1636 FL Primary

Addresses

Primary practice location

981 Kingsley Ave
Orange Park, FL 32073-4742

Mailing address

981 Kingsley Ave
Orange Park, FL 32073-4742
Phone (904) 269-9595

Other names 1

  • Ankle & Foot Associates Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doctortellam@gt.ssdirect.aprima.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1730365834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734742",
            "telephone_number": "904-269-9595",
            "fax_number": "904-264-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734742",
            "telephone_number": "904-269-9595",
            "fax_number": "904-264-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GEORGE S TELLAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "TELLAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "904-269-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doctortellam@gt.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "981 Kingsley Ave",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320734742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle & Foot Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ankle & Foot Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.