NPIMap

Organization Active NPI

Family Foot Care of Statesboro

  • Foot & Ankle Surgery Podiatrist
  • Statesboro, GA
National Provider Identifier
1740499664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000942 Issued in GA
Legal business name
FAMILY FOOT CARE OF STATESBORO
Practice address
407 S Zetterower Ave
Statesboro, GA 30458-7137
Phone
(912) 489-3668
Fax
(912) 489-4795
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathleen Rose Skelly, DPMNPI 1407862931
Title
Podiatrist
Phone
(912) 489-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD000942 GA Primary

Addresses

Primary practice location

407 S Zetterower Ave
Statesboro, GA 30458-7137

Mailing address

PO Box 886
Statesboro, GA 30459-0886
Phone (912) 489-3668

National Provider Directory

National Provider Directory

Locations

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

407 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 489-3668

Practitioners & affiliated clinicians

Practitioners 5

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740499664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590886",
            "telephone_number": "912-489-3668",
            "fax_number": "912-489-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587137",
            "telephone_number": "912-489-3668",
            "fax_number": "912-489-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE OF STATESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKELLY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "912-489-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.