Mid-South Podiatry, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

MID-SOUTH PODIATRY, LLC

Practice address

1950 Pickwick St
Savannah, TN 38372-5309

Phone

(931) 629-7176

Fax

(931) 223-5459

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Aaron M Owens, DPMNPI 1144420118

Title

Doctor

Phone

(931) 629-7176

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Aaron Michael Owens, D.P.M.

  • Foot Surgery Podiatrist
  • Columbia, TN
  • NPI 1144420118

  MS

  Medicare reassignment NPD Authorized official
• Bruce K. Boyd, DPM

  • Primary Podiatric Medicine Podiatrist
  • Corinth, MS
  • NPI 1386715514
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1942497854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 CARRINGTON LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384018645",
            "telephone_number": "931-629-7176",
            "fax_number": "931-223-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PICKWICK ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725309",
            "telephone_number": "931-629-7176",
            "fax_number": "931-223-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "931-629-7176",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370132",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin Keith McLain, P.A.
• McNairy County Schools
• Melanie a Reaves PLLC (The Family Clinic)
• Angela M Melson, APRN
• Memphis Vamc
• Midsouth Chiropractic PLLC
• Alan Ira Miller, M.D.
• Christie C Mitchell-Patton, M.A. CCC-SLP
• Gregory Charles Mitchell, M.D.
• Loren Moore

• Podiatric Clinic/Center in Savannah, TN
• Providers in Savannah, TN by specialty
• Podiatric Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.