NPIMap

Organization Active NPI

Walk Well Footcare Center, LLC

  • Podiatrist
  • Byron, GA
National Provider Identifier
1730598079
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WALK WELL FOOTCARE CENTER, LLC
Doing business as
Walk Well Footcare Center, LLC
Practice address
212 Ga Highway 49 N
Suite 900
Byron, GA 31008-4057
Phone
(305) 542-0830
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Irma Nawanjaya Wejuli, DPM
Title
Owner
Phone
(305) 542-0830

Specialties & licenses 1

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

Addresses

Primary practice location

212 Ga Highway 49 N
Suite 900
Byron, GA 31008-4057

Mailing address

212 Ga Highway 49 N
Suite 900
Byron, GA 31008-4057
Phone (305) 542-0830

Other names 1

  • Walk Well Footcare Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

212 GA Highway 49 S
Byron, GA 31008

Practitioners & affiliated clinicians

Practitioners 4

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1730598079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GA HIGHWAY 49 N",
            "address_2": "SUITE 900",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310084057",
            "telephone_number": "305-542-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GA HIGHWAY 49 N",
            "address_2": "SUITE 900",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310084057",
            "telephone_number": "305-542-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK WELL FOOTCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "WEJULI",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "NAWANJAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-542-0830",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walk Well Footcare Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.