Organization Active NPI

Central Georgia Foot and Ankle Center PC

  • Podiatrist
  • Macon, GA
National Provider Identifier
1871789800
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CENTRAL GEORGIA FOOT AND ANKLE CENTER PC
Practice address
2180 Vineville Ave
Macon, GA 31204-3124
Phone
(478) 742-3631
Fax
(478) 741-9513
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Joseph Michael Union, D.P.M.
Title
Sec/Treasurer
Phone
(478) 742-3631

Specialties & licenses 1

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

Addresses

Primary practice location

2180 Vineville Ave
Macon, GA 31204-3124

Mailing address

2180 Vineville Ave
Macon, GA 31204-3124
Phone (478) 742-3631

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040416000325 GA Part B Supplier - Clinic/Group Practice 1456346816 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Warner Robins, GA; Macon, GA
O20100930096789 GA DME Supplier - Physician - Podiatry 1456346816 Practice locations: Macon, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

303 Industrial Blvd
Dublin, GA 31021
Phone (912) 272-6577

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1871789800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043124",
            "telephone_number": "478-742-3631",
            "fax_number": "478-741-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043124",
            "telephone_number": "478-742-3631",
            "fax_number": "478-741-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA FOOT AND ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "UNION",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SEC/TREASURER",
        "authorized_official_telephone_number": "478-742-3631",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.