Organization Active NPI

Ndem Ndem Universal Foot & Leg Clinic

  • Foot & Ankle Surgery Podiatrist
  • Columbus, GA
National Provider Identifier
1811227762
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000872 Issued in GA
Legal business name
NDEM NDEM UNIVERSAL FOOT & LEG CLINIC
Practice address
1911 Warm Springs Rd
Columbus, GA 31904-8030
Phone
(706) 653-5282
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Ndem Ndem, DPMNPI 1386697035
Title
Owner
Phone
(706) 653-5282

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD000872 GA Primary

Addresses

Primary practice location

1911 Warm Springs Rd
Columbus, GA 31904-8030

Mailing address

1911 Warm Springs Rd
Columbus, GA 31904-8030
Phone (706) 653-5282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100803000792 AL Part B Supplier - Clinic/Group Practice 2466585054 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL
O20110722000335 GA Part B Supplier - Clinic/Group Practice 2466585054 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory
Tax ID family
Ndem Ndem Universal Foot Leg Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3700 S Railroad St
Ste C
Phenix City, AL 36867
Phone (334) 298-0022

Practitioners & affiliated clinicians

Practitioners 2

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": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1811227762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048030",
            "telephone_number": "706-653-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048030",
            "telephone_number": "706-653-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDEM NDEM UNIVERSAL FOOT & LEG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "NDEM",
        "authorized_official_first_name": "NDEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-653-5282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.