Basic Information
Provider Information | |||||||||
NPI: | 1629073481 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | HELFMAN | ||||||||
FirstName: | DAVID | ||||||||
MiddleName: | N. | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | DPM | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 300 VILLAGE GREEN CIR SE | ||||||||
Address2: | STE 200 | ||||||||
City: | SMYRNA | ||||||||
State: | GA | ||||||||
PostalCode: | 300803476 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7703840284 | ||||||||
FaxNumber: | 7704327638 | ||||||||
Practice Location | |||||||||
Address1: | 3969 S COBB DR SE | ||||||||
Address2: | STE 102 | ||||||||
City: | SMYRNA | ||||||||
State: | GA | ||||||||
PostalCode: | 300806313 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7703195502 | ||||||||
FaxNumber: | 7704349010 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/17/2005 | ||||||||
LastUpdateDate: | 05/20/2008 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | POD000643 | GA | Y |   | Podiatric Medicine & Surgery Service Providers | Podiatrist |   |
ID Information
ID | Type | State | Issuer | Description | 581994261 | 01 | GA | CIGNA | OTHER | 2701693 | 01 | GA | EVERCARE | OTHER | 337372 | 01 | GA | WELLCARE - MEDICAID | OTHER | 581994261 | 01 | GA | GREAT WEST | OTHER | 581994261 | 01 | GA | AETNA | OTHER | 000494249A | 01 | GA | PEACH STATE HP - MEDICAID | OTHER | 581994261 | 01 | GA | FIRST HEALTH | OTHER | 000494249A | 05 | GA |   | MEDICAID | 1400101 | 01 | GA | GHI | OTHER | 581994261 | 01 | GA | PHCS | OTHER | 2608064 | 01 | GA | UNITED HEALTHCARE | OTHER | 10052244 | 01 | GA | AMERIGROUP-MEDICAID | OTHER | 581994261 | 01 | GA | HUMANA | OTHER | 581994261 | 01 | GA | BEECH STREET | OTHER |