Gait Medical LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

602 Issued in SC

Legal business name

GAIT MEDICAL LLC

Practice address

1110 Marshall Rd
Wellness Center-Podiatry
Greenwood, SC 29646

Phone

(215) 740-7000

Fax

(770) 790-4752

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Adrienne Atkinson-SneedNPI 1366462699

Title

DPM

Phone

(215) 740-7000

Specialties & licenses 4

Addresses

Other identifiers 2

Tax ID family

Gait Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gait Medical LLC

  • Foot & Ankle Surgery Podiatrist
  • East Point, GA
  • NPI 1093243024
  NPD tax ID

Locations

Practitioners 1

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

• Adrienne Atkinson-Sneed, DPM

  • Podiatrist
  • East Point, GA
  • NPI 1366462699
  NPD Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1962922039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 NORTH DESERT DRIVE",
            "address_2": "SUITE 112 BUILDING 2",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "215-740-7000",
            "fax_number": "770-790-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MARSHALL RD",
            "address_2": "WELLNESS CENTER-PODIATRY",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "215-740-7000",
            "fax_number": "770-790-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "ATKINSON-SNEED",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "215-740-7000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "602",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9887",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD6023",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anderson B Funke, M.D.
• Dana Stockslager Fuqua, DMD
• Kevin R Fuqua, MD
• Linda L Fuqua, MD
• Lauren Lee Gable, CAC1-P
• Marilynn E Galbreath
• Kelly A. Gallagher-Kiley, LCSW
• Allison Layne Gallman
• Heather S Gallman, MD
• Todd A Gallman, MD

• Foot Surgery Podiatrist in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Foot Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.