Organization Active NPI

Greenville Footcare LLC

  • Podiatrist
  • Greenville, AL
National Provider Identifier
1851324271
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GREENVILLE FOOTCARE LLC
Practice address
220 Fort Dale Rd
Greenville, AL 36037-1502
Phone
(334) 382-1400
NPI assigned
Jul 9, 2006
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Joyce Birchfield
Title
Billing Manager
Phone
(888) 745-0211

Specialties & licenses 1

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

Addresses

Primary practice location

220 Fort Dale Rd
Greenville, AL 36037-1502

Mailing address

220 Fort Dale Rd
Greenville, AL 36037-1502
Phone (334) 382-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000315 AL Part B Supplier - Clinic/Group Practice 7810919610 Receives reassigned benefits from 2 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

219 Cedar St
Greenville, AL 36037
Phone (334) 382-1400

220 Fort Dale Rd
Greenville, AL 36037
Phone (334) 382-1400

3108 Luverne Hwy
Greenville, AL 36037
Phone (334) 265-7585

1801 Pine St
Ste 201
Montgomery, AL 36106
Phone (334) 263-1400

3300 Lynchburg Dr
Montgomery, AL 36116
Phone (334) 281-0808

6916 Winton Blount Blvd
Montgomery, AL 36117
Phone (334) 265-7585

208 Marshall St
Wetumpka, AL 36092
Phone (334) 514-6553

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1851324271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FORT DALE RD",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360371502",
            "telephone_number": "334-382-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORT DALE RD",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360371502",
            "telephone_number": "334-382-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE FOOTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "BIRCHFIELD",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "888-745-0211"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.