NPI age
16 years
Enumerated 2009-07-23
● Active Type 2 · Organization
S.e. Family Foot & Ankle Center Llc
S.e. Family Foot & Ankle Center Llc is 1 of 437 podiatrist organizations in Georgia.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Theodore
Owner
Last NPPES update
2009-07-23
Source: monthly bulk 2026-05
How this organization compares
Across 437 active podiatrist providers in Georgia.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
841 Mulberry St
MacOn, GA 312016756
Mailing address
841 Mulberry St
MacOn, GA 312016756
Authorized official
Roger P. Theodore, DR.
Owner
📞 4787411192
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Clyde Green, MD Family Medicine NPI 1417178187
- Dorothy Thomas, FNP-C Nurse Practitioner NPI 1104298900
Specialties
-
Podiatrist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 006555322A | |
| 01 (GA) | 480025693 | RAILROAD MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Family Foot and Ankle Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.