MEDICARE: VILLAGE PODIATRY GROUP LLC

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1750473245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE PODIATRY GROUP 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	:	678-426-2171
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE STREET
Second Line	:	SUITE 1960
City	:	ATLANTA
State	:	GA
Zip	:	30308-2225
Country	:	US
Telephone Number	:	404-589-1330
Fax Number	:	404-589-1387

Authorized Official
Title or Position	:	CEO
Name	:	DAVID N. HELFMAN
Credential	:	DPM
Telephone Number	:	678-426-2171

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/13/2024

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