Organization Active NPI

G Clay Taylor

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, GA
National Provider Identifier
1982882775
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00640 Issued in GA
Legal business name
G CLAY TAYLOR
Doing business as
Ankle & Foot Centers of Georgia
Practice address
1975 Highway 54 W
Ste 205
Fayetteville, GA 30214-4794
Phone
(678) 561-9000
Fax
(678) 854-1977
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Joseph D Giovinco, D.P.M.
Title
Physician/Owner
Phone
(678) 561-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00640 GA Primary

Addresses

Primary practice location

1975 Highway 54 W
Ste 205
Fayetteville, GA 30214-4794

Mailing address

1975 Highway 54 W
Ste 205
Fayetteville, GA 30214-4794
Phone (678) 561-9000

Other identifiers 1

IdentifierTypeStateIssuer
000494491DMedicaidGA

Other names 1

  • Ankle & Foot Centers of Georgia Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1982882775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "STE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144794",
            "telephone_number": "678-561-9000",
            "fax_number": "678-854-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W",
            "address_2": "STE 205",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144794",
            "telephone_number": "678-561-9000",
            "fax_number": "678-854-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G CLAY TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "GIOVINCO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-561-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "00640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000494491D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle & Foot Centers of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.