NPIMap

Organization Active NPI

Center for Diabetes Foot Care

  • Podiatrist
  • Jackson, MS
National Provider Identifier
1851339899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CENTER FOR DIABETES FOOT CARE
Practice address
820 Cooper Rd
Suite I
Jackson, MS 39212-4099
Phone
(601) 372-9575
Fax
(601) 376-0404
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kathleen Evans James
Title
Executive Director
Phone
(601) 372-9575

Specialties & licenses 1

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

Addresses

Primary practice location

820 Cooper Rd
Suite I
Jackson, MS 39212-4099

Mailing address

820 Cooper Rd
Suite I
Jackson, MS 39212-4099
Phone (601) 372-9575

National Provider Directory

National Provider Directory
Tax ID family
Center for Diabetes Foot Care2 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

820 Cooper Rd
Ste I
Jackson, MS 39212
Phone (601) 372-9085

Practitioners & affiliated clinicians

Practitioners 4

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851339899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 COOPER RD",
            "address_2": "SUITE I",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392124099",
            "telephone_number": "601-372-9575",
            "fax_number": "601-376-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 COOPER RD",
            "address_2": "SUITE I",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392124099",
            "telephone_number": "601-372-9575",
            "fax_number": "601-376-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIABETES FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-372-9575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.