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Organization

Jefferson City Medical Group, P.C.

NPI Record: ActivePodiatrist
NPI1871549345
Jefferson City, Missouri

Provider's NPPES record last updated: October 3, 2024

Overview

Entity Type
Organization
NPI
1871549345
Primary Specialty
Podiatrist
Practice Location
Jefferson City, Missouri
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 5:05 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Podiatrist

    Podiatric Medicine & Surgery Service Providers

    Primary

    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

    Taxonomy code 213E00000X
  • Durable Medical Equipment & Medical Supplies

    Suppliers

    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

    Taxonomy code 332B00000X

Practice Locations

Practice Location

1241 W Stadium Blvd

Suite L400b

Jefferson City, Missouri 65109-6023

Phone: (573) 556-5747

Additional Practice Location

350 Country Meadow Ln

Fulton, Missouri 65251-5278

Phone: (573) 635-5264

Additional Practice Location

1735 Elm Ct

Jefferson City, Missouri 65101-4129

Phone: (573) 635-5264

Other Names

  • Jcmg PodiatryReported May 26, 2006
  • Jcmg PodiatryReported December 26, 2018

Record Information

Enumeration Date
May 26, 2006
Provider's NPPES Record Last Updated
October 3, 2024
Certification Date
October 3, 2024
NPISignal NPPES Dataset
August 2026

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