MEDICARE: DR. THOMAS JOHN LEGACKI III DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	POD001308	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750652442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS JOHN LEGACKI III DPM

Provider Business Mailing Address
First Line	:	50 BERWICK BLVD STE 220
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-8483
Country	:	US
Telephone Number	:	276-620-4772
Fax Number	:	912-283-1618

Provider Business Practice Location Address
First Line	:	50 BERWICK BLVD STE 220
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-8483
Country	:	US
Telephone Number	:	276-620-4772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	05/12/2026

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