PODIATRY MEDICAL SURGICAL LLC
NPI 1639814304
Podiatrist - Foot & Ankle Surgery in Savannah, GA

Active since April 28, 2022
50 BERWICK BLVD STE 220, SAVANNAH, GA 31419(912) 301-2880(888) 830-1576 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Mar 11, 2026, Apr 28, 2022 (3 updates tracked since 2022).

About Podiatry Medical Surgical Llc NPPES

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

PODIATRY MEDICAL SURGICAL LLC (NPI 1639814304) is a healthcare organization registered as a foot & ankle surgery in Savannah, Georgia and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Hinesville and lists Thomas John Legacki, D.p.m., as its authorized official.

NPPES Registry Identity

NPI1639814304
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePODIATRY MEDICAL SURGICAL LLC
Location Address50 BERWICK BLVD STE 220Savannah, GA 31419-8483
Mailing Address203 Marshview DrRichmond Hill, GA 31324-6205 · (912) 301-2880 · Fax (888) 830-1576
Fax(888) 830-1576
Organization SubpartNo
Authorized OfficialThomas John LegackiD.p.m. · (912) 301-2880
Enumeration DateApril 28, 2022
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1639814304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
50 BERWICK BLVD STE 220, Savannah, GA 31419

Secondary Practice Location 1

Location 1481 Elma G Miles Pkwy Ste CHinesville, GA 31313-4004 · Phone (912) 301-2880 · Fax (888) 830-1576

Other Identifiers 1

Medicaid003186112CGA

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
50 BERWICK BLVD STE 220
SAVANNAH, GA 31419

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639814304, enumerated as an "organization" on April 28, 2022.

The provider is located at 50 BERWICK BLVD STE 220 SAVANNAH, GA 31419 and the phone number is (912) 301-2880.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.