MEDICARE: VILLAGE PODIATRY GROUP II, LLC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
2	363L00000X	Nurse Practitioner
3	207Q00000X	Family Medicine Physician
4	207R00000X	Internal Medicine Physician
5	261QP1100X	Podiatric Clinic/Center
6	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1427540699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE PODIATRY GROUP II, LLC.

Provider Business Mailing Address
First Line	:	4101 CHARLOTTE AVE STE F185
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 PEACHTREE ROAD NE
Second Line	:	SUITE 810
City	:	ATLANTA
State	:	GA
Zip	:	30309-1412
Country	:	US
Telephone Number	:	404-446-1890
Fax Number	:	404-446-1898

Authorized Official
Title or Position	:	OWNER/DPM
Name	:	MITCHELL P. HILSEN
Credential	:
Telephone Number	:	404-822-5555

Provider Enumeration Date	:	06/04/2018
Last Update Date	:	06/02/2026

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