MARYVILLE FOOT CLINIC INC
NPI 1730101734
Podiatrist - Primary Podiatric Medicine in Maryville, TN
About Maryville Foot Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYVILLE FOOT CLINIC INC (NPI 1730101734) is a healthcare organization registered as a primary podiatric medicine in Maryville, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Brandi C Hegerty, Office Manager, as its authorized official.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2269665
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 30, 2024
- Certificate Expiration Date
- September 29, 2026
- Laboratory Director
- HEATHER R. LEDBETTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Maryville Foot Clinic Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730101734, enumerated as an "organization" on July 25, 2006.
The provider is located at 1515 E LAMAR ALEXANDER PKWY MARYVILLE, TN 37804 and the phone number is (865) 982-2119.
Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.
The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Cigna, Tricare, Humana. Please consult your insurance carrier or call the provider to verify.
