George S Tellam DPM
NPI 1669843751ActiveOrganization· Podiatrist· Jacksonville Beach, FL
Podiatrist in Jacksonville Beach, Florida, registered in NPPES in October 2015. The authorized official on file is Shelley Sawday Thomas, DPM, Owner/Podiatrist. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1669843751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2015 |
| Last updated in NPPES | Jul 29, 2020 |
| Certified by provider | Jul 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | PO 1636 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (FL) |
|---|
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