SOUTHERN PODIATRY FOOT AND ANKLE LLC
NPI 1619112968
Podiatrist in Homer, GA

Q: What is Southern Podiatry Foot And Ankle LLC's NPI number?

The NPI number for Southern Podiatry Foot And Ankle LLC is 1619112968. It was assigned to this organization in the NPPES registry on December 15, 2008.

Q: What is Southern Podiatry Foot And Ankle LLC's specialty?

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

Active since December 15, 2008

212 LAKE PEHAMA TRAIL, HOMER, GA 30547(312) 752-7713 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Podiatry Foot And Ankle Llc NPPES

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

SOUTHERN PODIATRY FOOT AND ANKLE LLC (NPI 1619112968) is a healthcare organization registered as a podiatrist in Homer, Georgia and active in the NPI registry since December 2008. The organization lists Rick Thornton, Owner, as its authorized official.

NPPES Registry Identity

NPI1619112968

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameSOUTHERN PODIATRY FOOT AND ANKLE LLC

Location Address212 LAKE PEHAMA TRAILHomer, GA 30547

Mailing Address212 Lake Pehama TrailHomer, GA 30547 · (312) 752-7713

Phone(312) 752-7713

Organization SubpartNo

Authorized OfficialRick ThorntonOwner · (312) 752-7713

Enumeration DateDecember 15, 2008

✔ NPI 1619112968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in TN · 5981134

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.

212 LAKE PEHAMA TRAIL, Homer, GA 30547

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Other Identifiers 1

Medicare PIN111480025GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Southern Podiatry Foot And Ankle LLC's NPI number?

The NPI number for Southern Podiatry Foot And Ankle LLC is 1619112968. It was assigned to this organization in the NPPES registry on December 15, 2008.

Where is Southern Podiatry Foot And Ankle LLC located?

Southern Podiatry Foot And Ankle LLC is located at 212 Lake Pehama Trail, Homer, GA 30547. The listed phone number is (312) 752-7713.

What is Southern Podiatry Foot And Ankle 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 Southern Podiatry Foot And Ankle LLC was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.