Greenville Footcare LLC
Organization Active NPI Podiatrist · Greenville, AL
NPI 1851324271 · NPPES record last updated Nov 3, 2011
Key facts
- NPI
- 1851324271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 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
- Organization subpart
- No
Authorized official
- Name
- Joyce Birchfield
- Title
- Billing Manager
- Phone
- (888) 745-0211
Practitioners 5
-
Brian N Kille, DPM
-
Lashonda Moore, DPM
-
Steven Lynn Mackey, M.D.
-
Chivers R Woodruff, M.D.
-
Kimberly Bell Wolfensperger, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051221000315 | AL | Part B Supplier - Clinic/Group Practice | 7810919610 |
Receives reassigned benefits from 2 practitioners Practice locations: Montgomery, AL |
National Provider Directory
Locations
219 Cedar St
Greenville, AL 36037
Phone (334) 382-1400
3108 Luverne Hwy
Greenville, AL 36037
Phone (334) 265-7585
7295 Copperfield Dr
Montgomery, AL 36117
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
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
Other providers in Greenville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.