Organization Active NPI

Village Podiatry Group LLC

  • Foot Surgery Podiatrist
  • Macon, GA
National Provider Identifier
1801625546
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
VILLAGE PODIATRY GROUP LLC
Practice address
540 Charter Blvd Ste 300
Macon, GA 31210-4894
Phone
(478) 295-6381
Fax
(833) 972-2508
NPI assigned
Jul 31, 2024
Organization subpart
Yes
Parent organization
VILLAGE PODIATRY GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
David N Helfman, DPM
Title
Ceo
Phone
(678) 426-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

540 Charter Blvd Ste 300
Macon, GA 31210-4894

Mailing address

4101 Charlotte Ave Ste F185
Nashville, TN 37209-4066
Phone (678) 426-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207001590 GA DME Supplier - Physician - Podiatry 4587646971 Practice locations: Macon, GA

National Provider Directory

National Provider Directory
Tax ID family
Village Podiatry Group LLC35 organizations share this tax ID, including this one
Part of
Village Podiatry Group LLC

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

540 Charter Blvd
Ste 300
Macon, GA 31210
Phone (478) 295-6381

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1801625546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CHARLOTTE AVE STE F185",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094066",
            "telephone_number": "678-426-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CHARTER BLVD STE 300",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104894",
            "telephone_number": "478-295-6381",
            "fax_number": "833-972-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PODIATRY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE PODIATRY GROUP LLC",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "HELFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-426-2171",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.