Active NPI
Holcomb's Foot & Leg Clinic of Cumming
Doing business as Cumming Foot & Leg Clinic
- Foot & Ankle Surgery Podiatrist
- Canton, GA
National Provider Identifier
1972576379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000925
- Legal business name
- HOLCOMB'S FOOT & LEG CLINIC OF CUMMING
- Doing business as
- Cumming Foot & Leg Clinic
- Practice address
- 210 Oakside Lane
Suite B
Canton, GA 30114 - Phone
- (678) 880-0036
- Fax
- (678) 493-7051
- NPI assigned
- Feb 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bret J Hintze, DPM
- Title
- Owner
- Phone
- (770) 889-9596
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000925 | GA | Primary |
Addresses
Primary practice location
210 Oakside Lane
Suite B
Canton, GA 30114
Mailing address
236 Atlanta Road
Cumming, GA 30040
Phone (770) 889-9596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5168230001 | Other | GA | DMERC |
| 52866606009 | Other | BCBS |
Other names 1
- CUMMING FOOT & LEG CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Cumming Foot Leg Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Jasper, GA
- NPI 1982677621
-
dba Cumming Foot & Leg Clinic
- Foot & Ankle Surgery Podiatrist
- Ellijay, GA
- NPI 1073586715
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972576379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 ATLANTA ROAD",
"city": "CUMMING",
"state": "GA",
"postal_code": "30040",
"telephone_number": "770-889-9596",
"fax_number": "770-889-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 OAKSIDE LANE",
"address_2": "SUITE B",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "678-880-0036",
"fax_number": "678-493-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLCOMB'S FOOT & LEG CLINIC OF CUMMING",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HINTZE",
"authorized_official_first_name": "BRET",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-889-9596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "000925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5168230001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52866606009",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CUMMING FOOT & LEG CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Canton, GA
- Victoria Hilton, NP
- Matthew Delaney Hinkle, RN
- Hippo Associates, LLC
- Mark Graham Hogan, MD
- Russell David Holcomb, LCPO
- Maria Jane Holder, NP
- Diane L Hollander, PSYD, BCBA-D
- Sandra Sue Hollingsworth, R.PH.
- Holly Springs Chiropractic Clinic, Inc. (Optimal Health Center of Canton)
- Holly Springs Pharmacy LLC (PharMoore Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.