Innovative Footcare, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

INNOVATIVE FOOTCARE, INC.

Practice address

1105 E Main St
Royston, GA 30662-3803

Phone

(762) 338-5152

Fax

(762) 338-5152

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Meeks

Title

Billing Manager

Phone

(470) 503-9934

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

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.

• Tom Tien Dang, DPM

  • Podiatrist
  • Commerce, GA
  • NPI 1649474032
  Medicare reassignment NPD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1760967434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E MAIN ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623803",
            "telephone_number": "762-338-5152",
            "fax_number": "762-338-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E MAIN ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623803",
            "telephone_number": "762-338-5152",
            "fax_number": "762-338-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FOOTCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "470-503-9934"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649474032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Harrison, LPC
• Marcus Hegger, D.C.
• Marie Roberts Hendrix, M.ED., CCC-SLP
• Anne Fowler Hightower, PT
• Hilltop Therapies LLC
• Jadebianca Transport Consulting
• Courtney Nicole Johnson, PHARM. D.
• Jillian Glaude Johnson
• Madison Johnson, M.ED.,CCC-SLP
• Angela Denise Jones, LPC015853

• Podiatrist in Royston, GA
• Providers in Royston, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.