Friendly Foot Centers, PLLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

409 Issued in NC

Legal business name

FRIENDLY FOOT CENTERS, PLLC

Practice address

5921 W Friendly Ave Ste D
Greensboro, NC 27410-3268

Phone

(336) 218-8490

Fax

(336) 299-6533

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

John Andrew Petery, DPM

Title

President

Phone

(336) 339-2007

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1962993147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 W FRIENDLY AVE STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103268",
            "telephone_number": "336-218-8490",
            "fax_number": "760-345-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 W FRIENDLY AVE STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103268",
            "telephone_number": "336-218-8490",
            "fax_number": "336-299-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY FOOT CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "PETERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-339-2007",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962993147",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherise Monique Fretwell, CNM, FNP-C
• Cindy Friday, LCMHC
• Ashley Goodwin Friddle, CPNP-PC
• Morgan Friddle
• Marian Friedman, RN
• Friendly Pharmacy
• Friendly Pharmacy, Inc
• Friendly Urgent and Family Care
• Friendly Urgent and Family Care
• Friends Homes, Inc.

• Primary Podiatric Medicine Podiatrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.