NPIMap

Organization Active NPI

Thomasville Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Thomasville, GA
National Provider Identifier
1891069530
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001189 Issued in GA
Legal business name
THOMASVILLE FOOT AND ANKLE CENTER
Doing business as
Thomasville Foot and Ankle Center
Practice address
2024 E Pinetree Blvd Ste H
Thomasville, GA 31792-5391
Phone
(229) 236-3338
Fax
(229) 236-3337
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Viet Anh Vu, DPMNPI 1437475506
Title
President
Phone
(229) 236-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD001189 GA Primary

Addresses

Primary practice location

2024 E Pinetree Blvd Ste H
Thomasville, GA 31792-5391

Mailing address

100 Sweetbriar Lakes Dr
Thomasville, GA 31757-0001

Other names 1

  • Thomasville Foot and Ankle Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120716000428 GA Part B Supplier - Clinic/Group Practice 8123284346 Receives reassigned benefits from 2 practitioners
Practice locations: Cairo, GA; Bainbridge, GA; Thomasville, GA; Quitman, GA; Pelham, GA; Camilla, GA
O20121017000025 GA DME Supplier - Physician - Podiatry 8123284346 Practice locations: Thomasville, GA

National Provider Directory

National Provider Directory

Locations

1057 5th St SE
Cairo, GA 39828
Phone (229) 297-6200

2024 E Pinetree Blvd
Ste H
Thomasville, GA 31792
Phone (229) 236-3338

Practitioners & affiliated clinicians

Practitioners 3

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": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1891069530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SWEETBRIAR LAKES DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 E PINETREE BLVD STE H",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925391",
            "telephone_number": "229-236-3338",
            "fax_number": "229-236-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "VIET ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-236-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomasville Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.