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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: October 18, 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
Phone(912) 301-2880
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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Podiatry Medical Surgical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Podiatry Medical Surgical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Legacki, DPM
Podiatry
NPI 1750652442
50 BERWICK BLVD STE 220
Savannah, GA 31419
(276) 620-4772
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Podiatry Medical Surgical LLC's NPI number?

The NPI number for Podiatry Medical Surgical LLC is 1639814304. It was assigned to this organization in the NPPES registry on April 28, 2022.

Where is Podiatry Medical Surgical LLC located?

Podiatry Medical Surgical LLC is located at 50 Berwick Blvd Ste 220, Savannah, GA 31419. The listed phone number is (912) 301-2880.

What is Podiatry Medical Surgical LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Podiatry Medical Surgical LLC enrolled in Medicare?

Yes. Podiatry Medical Surgical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Podiatry Medical Surgical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Podiatry Medical Surgical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Podiatry Medical Surgical LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.