{"npi":"1497984397","type":"NPI-2","status":"active","name":{"display":"Southern Podiatry Foot And Ankle, PLLC","other":[],"organization_name":"SOUTHERN PODIATRY FOOT AND ANKLE, PLLC","authorised_official":"Elyse Tiller"},"specialty":{"primary_taxonomy":"213ES0131X","primary_taxonomy_description":"Foot Surgery Podiatrist","slug":"foot-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0131X","description":"Foot Surgery Podiatrist","primary":true,"state":"AL","license":"299"}]},"addresses":[{"purpose":"LOCATION","street_1":"8000 MADISON BLVD STE D102-341","city":"MADISON","state":"AL","postal_code":"357582031","country_code":"US","phone":"3127527713"},{"purpose":"MAILING","street_1":"1311 GRANDEVIEW BLVD APT 1928","city":"HUNTSVILLE","state":"AL","postal_code":"358242408","country_code":"US","phone":"3127527713"}],"license":{"state":"AL","number":"299"},"identifiers":[{"type_code":"01","label":"Other","value":"510-49599","state":"AL","issuer":"BCBSAL"},{"type_code":"05","label":"Medicaid","value":"112600","state":"AL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090807000222","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"9234282336"},{"enrlmt_id":"O20091118000192","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"9234282336"}]},"enumeration_date":"2009-07-13","last_updated":"2024-12-12","_meta":{"source":"NPPES","snapshot_date":"2024-12-12","doc_url":"https://findmynpi.com/api"}}