LAKE OCONEE FOOT AND ANKLE LLC
NPI 1639553936
Podiatrist in Greensboro, GA
NPI Status: Active since July 16, 2015
Contact Information
1031 VILLAGE PARK DR
SUITE 103
GREENSBORO, GA
ZIP 30642
Phone: (855) 663-8800
Fax: (855) 663-8800
- Organization
- Podiatrist
- CLIA Number: 11D2237455
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 09-23-2025
About LAKE OCONEE FOOT AND ANKLE LLC
This page provides the complete NPI Profile along with additional information for Lake Oconee Foot And Ankle Llc, a provider established in Greensboro, Georgia operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1639553936 assigned on July 2015. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Lake Oconee Foot And Ankle Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Allison J. A. Menke Dpm (President)
- NPI
- 1639553936
- Provider Name
- LAKE OCONEE FOOT AND ANKLE LLC
- Entity Type
- Organization
- Location Address
- 1031 VILLAGE PARK DR SUITE 103 GREENSBORO, GA 30642
- Location Phone
- (855) 663-8800
- Location Fax
- (855) 663-8800
- Mailing Address
- 1031 VILLAGE PARK DR SUITE 103 GREENSBORO, GA 30642
- Mailing Phone
- (855) 663-8800
- Mailing Fax
- (855) 663-8800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2015
- Last Update Date
- 07-16-2015
- Code Navigator
A podiatrist like Lake Oconee Foot And Ankle Llc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 11D2237455
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 24, 2023
- Certificate Expiration Date
- September 23, 2025
- Laboratory Director
- JESSICA TOLBERT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Oconee Foot And Ankle Llc 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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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 5 | 5 | 3 | 9 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 5 | 6 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 5 + 6 + 9 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1639553936 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164897971 | DA VINCI FOOT AND ANKLE LLC Organization | Podiatrist (Foot & Ankle Surgery) | 1031 VILLAGE PARK DR SUITE 103 GREENSBORO, GA 30642 (706) 999-9994 |
| 1457654899 | DR. ALLISON JOY ANDERS MENKE DPM Individual | Podiatrist (Foot & Ankle Surgery) | 1031 VILLAGE PARK DR STE 103 GREENSBORO, GA 30642 (706) 999-9994 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639553936, enumerated in the NPI registry as an "organization" on July 16, 2015
The provider is located at 1031 Village Park Dr Suite 103 Greensboro, Ga 30642 and the phone number is (855) 663-8800
This medical organization specializes in Podiatrist with taxonomy code 213E00000X
The provider's CLIA number is 11D2237455 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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