Antioch Medical Associates

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000860 Issued in GA

Legal business name

ANTIOCH MEDICAL ASSOCIATES

Practice address

9104 Middleground Rd
Ste 2
Savannah, GA 31406-4302

Phone

(912) 927-8011

Fax

(912) 927-8311

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Alphonso Dandy Sr., OD

Title

Owner

Phone

(912) 927-8011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Sue Hoffstetter, RD, LD

  • Registered Dietitian
  • Savannah, GA
  • NPI 1093929416
  NPD (past)
• Lillian Machelle Loretz, DPM

  • Podiatrist
  • Savannah, GA
  • NPI 1356376743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1861541344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 MIDDLEGROUND RD",
            "address_2": "STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064302",
            "telephone_number": "912-927-8011",
            "fax_number": "912-927-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 MIDDLEGROUND RD",
            "address_2": "STE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064302",
            "telephone_number": "912-927-8011",
            "fax_number": "912-927-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIOCH MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "DANDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALPHONSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-927-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000817242C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ankle and Foot Assoc, LLC
• Ann C. Davis, LLC
• Ann Linton DDS PC
• Patrick Anneken
• Jeremy Ansbach, PT, DPT, OCS
• Antioch Vascular Center, LLC
• Lerissa Ann Antonio, MD
• Elizabeth Antoon, PA-C
• Tooba Anum, MD
• Applecare Memorial Immediate Care Joint Venture LLC

• Podiatrist in Savannah, GA
• Providers in Savannah, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.