NPIMap

Organization Active NPI

Podiatry Care of Georgia

  • Primary Podiatric Medicine Podiatrist
  • Atlanta, GA
National Provider Identifier
1871929893
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
000931 Issued in GA
Legal business name
PODIATRY CARE OF GEORGIA
Practice address
415 Armour Dr NE
3103
Atlanta, GA 30324-3933
Phone
(404) 904-3773
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Rondrick Williamson, DPM
Title
Medical Director
Phone
(404) 904-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 000931 GA Primary

Addresses

Primary practice location

415 Armour Dr NE
3103
Atlanta, GA 30324-3933

Mailing address

415 Armour Dr NE
3103
Atlanta, GA 30324-3933
Phone (404) 904-3773

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1871929893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ARMOUR DR NE",
            "address_2": "3103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243933",
            "telephone_number": "404-904-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ARMOUR DR NE",
            "address_2": "3103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243933",
            "telephone_number": "404-904-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RONDRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-904-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "000931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.