Organization Active NPI

Albany Podiatry Associates, LLP

  • Podiatrist
  • Albany, GA
National Provider Identifier
1821277591
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ALBANY PODIATRY ASSOCIATES, LLP
Practice address
531 7TH Ave
Albany, GA 31701-1921
Phone
(229) 883-3535
Fax
(229) 883-3783
NPI assigned
Oct 30, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Jon Kenneth Durham, D.P.M.NPI 1558354761
Title
Partner
Phone
(229) 883-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

531 7TH Ave
Albany, GA 31701-1921

Mailing address

531 7TH Ave
Albany, GA 31701-1921
Phone (229) 883-3535

Other identifiers 1

IdentifierTypeStateIssuer
A0463OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040521000093 GA Part B Supplier - Clinic/Group Practice 5496746117 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, GA
O20100930032939 GA DME Supplier - Physician - Podiatry 5496746117 Practice locations: Albany, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1821277591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 7TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011921",
            "telephone_number": "229-883-3535",
            "fax_number": "229-883-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 7TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011921",
            "telephone_number": "229-883-3535",
            "fax_number": "229-883-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY PODIATRY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "229-883-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "A0463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.