1. Home
  2. Directory
  3. Alabama
  4. Madison
  5. Podiatrist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTHEASTERN PODIATRY LLC
NPI 1346175114
Podiatrist in Madison, AL

Active since June 15, 2026
12205 COUNTY LINE RD STE C, MADISON, AL 35758(256) 684-8247 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN PODIATRY LLC (NPI 1346175114) is a healthcare organization registered as a podiatrist in Madison, Alabama and active in the NPI registry since June 2026. The organization lists Shane Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1346175114
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSOUTHEASTERN PODIATRY LLC
Location Address12205 COUNTY LINE RD STE CMadison, AL 35758-7720
Mailing Address12205 County Line Rd Ste CMadison, AL 35758-7720
Phone(256) 684-8247
Organization SubpartNo
Authorized OfficialShane JonesOwner · (256) 684-8247
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1346175114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
12205 COUNTY LINE RD STE C, Madison, AL 35758
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARC ALAN HULTQUIST D.O.
Pediatrics
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 258-8319
STEPHANIE FAITH BARNETT CRNP
Nurse Practitioner (Family)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 246-8575
REAGAN'S CLINIC, LLC
Pediatrics (Developmental - Behavioral Pediatrics)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (563) 424-0459
SHANE JONES DPM
Podiatrist
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 684-8247
KRESTA LEE SUNDERMAN CRNP
Pediatrics
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 258-8319

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 Southeastern Podiatry LLC's NPI number?

The NPI number for Southeastern Podiatry LLC is 1346175114. It was assigned to this organization in the NPPES registry on June 15, 2026.

Where is Southeastern Podiatry LLC located?

Southeastern Podiatry LLC is located at 12205 County Line Rd Ste C, Madison, AL 35758. The listed phone number is (256) 684-8247.

What is Southeastern Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Podiatry LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.