FAMILY PODIATRY CENTER PC – NPI #1376668020
Clinic/Center

FAMILY PODIATRY CENTER PC is an AHC clinic located in VIDALIA, GA. NPPES has assigned the NPI number 1376668020 to FAMILY PODIATRY CENTER PC on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Podiatric

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY PODIATRY CENTER PC below.

NPI Profile for
FAMILY PODIATRY CENTER PC

NPI Number
1376668020
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY PODIATRY CENTER PC
Primary location
1804 SEMINOLE DRIVE
VIDALIA, GA 30474
Phone: (912) 537-9864 Fax: (912) 537-2914
Mailing address
PO BOX 1106
STATESBORO, GA 30459-1106
Phone: (912) 489-8727 Fax: (912) 764-7882
Organization Subpart
No
Authorized Official
ROBERT CUSHNER
CEO
Phone: (912) 489-8727
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP1100X
- Clinic/Center / Podiatric (Primary)		 GA 2007000326

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.