Christopher Russel Corwin, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001012 Issued in GA

Practice address

11459 Johns Creek Pkwy.
Ste. 260
Johns Creek, GA 30097-3515

Phone

(770) 232-5030

Fax

(770) 495-9993

NPI assigned

Jun 15, 2006

Last updated

Jul 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Interoperability endpoints

• Direct secure messaging: ccorwin36530@direct.emory.org
• Direct secure messaging: christopher.corwin.1@4399.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village Podiatry Group II, LLC.

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1427540699
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group II, LLC.

  dba Village Podiatry Centers

  • Podiatrist
  • Royston, GA
  • NPI 1659918969
  NPD
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennestone Hospital, Inc.

  dba Wellstar Windy Hill Hospital

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1003850983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY.",
            "address_2": "STE. 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY.",
            "address_2": "STE. 260",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973515",
            "telephone_number": "770-232-5030",
            "fax_number": "770-495-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "RUSSEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003132092B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Virginia Cook, M.D.
• Jere N Cooper, PMHNP-BC
• Nailah Asha Copeland
• Matthew Tucker Coppage, DPT
• Cornerstone Mental Health Center LLC
• Victor Alan Couch, RNFA
• M. Eugenia Couchoud-Wilkinson, M.S., R.D.N, L.D.
• Brigitte Council, PA
• Crawford Long Hospital
• Crawford Long Hospital

• Podiatrist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.