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TENNESSEE VALLEY FOOT AND ANKLE CENTER NPI 1174799431


NPI Information

NPI: 1174799431
Provider Name: TENNESSEE VALLEY FOOT AND ANKLE CENTER
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 44D2140488

Address:
102 GROSS CRESCENT CIR
FORT OGLETHORPE, GA
ZIP 30742
Phone: (706) 858-0766
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TENNESSEE VALLEY FOOT AND ANKLE CENTER is a foot and ankle surgery podiatrist in Fort Oglethorpe, GA. TENNESSEE VALLEY FOOT AND ANKLE CENTER NPI is 1174799431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 GROSS CRESCENT CIR
FORT OGLETHORPE, GA
ZIP 30742-600
Phone: (706) 858-0766

The provider's authorized official is Jonathon Lee Strickler .
The authorized official title is Podiatrist/owner and has the following contact phone number (423) 559-8000.

The CLIA number assigned to this NPI record is 44D2140488 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery799GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1035007OTHERGEORGIABCBS
2000959857AMEDICAIDGEORGIA
3GRP4406MEDICARE PINGEORGIA
4CK8464OTHERGEORGIAMEDICARE RR
5U62049MEDICARE UPIN
64759250001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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