DR. ELIZABETH ANNE PUTNAM DPM
NPI 1053684399
Podiatrist in Statesboro, GA
About Dr. Elizabeth Anne Putnam Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIZABETH ANNE PUTNAM DPM (NPI 1053684399) is an individual podiatrist in Statesboro, Georgia, licensed in Georgia (POD001205) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Elizabeth Anne Putnam Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Putnam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATESBORO, GA 30458
STATESBORO, GA 30458
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Putnam's NPI number?
The NPI number for Elizabeth Putnam is 1053684399. It was assigned to this individual provider in the NPPES registry on February 16, 2012.
Where is Elizabeth Putnam located?
Elizabeth Putnam practices at 110 Hill Pond Ln, Statesboro, GA 30458. The listed phone number is (912) 489-3668.
What is Elizabeth Putnam's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Elizabeth Putnam enrolled in Medicare?
Yes. Elizabeth Putnam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elizabeth Putnam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Putnam reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Putnam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Putnam was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Elizabeth Anne Putnam, DPM · NPI 1053684399
Podiatrist provider in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since February 16, 2012.
## Identity
- **NPI:** 1053684399 (Entity type: Individual)
- **Enumerated:** February 16, 2012
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** POD001205 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 HILL POND LN, Statesboro, GA 30458-0872
- **Phone:** (912) 489-3668
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053684399) · Data from the CMS NPPES public registry.