Foot and Leg Clinic, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND LEG CLINIC, PC

Practice address

1650 Mulkey Rd
Austell, GA 30106-1186

Phone

(770) 941-3633

Fax

(770) 944-9038

NPI assigned

Feb 20, 2007

Last updated

May 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jana S. Taylor

Title

Credentialing Manager

Phone

(770) 941-3633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1003950114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061186",
            "telephone_number": "770-941-3633",
            "fax_number": "770-944-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061186",
            "telephone_number": "770-941-3633",
            "fax_number": "770-944-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND LEG CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "770-941-3633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Rafael Flores-Bermudez, M.D.
• Niquetta Adell Flowers, LPC
• Comfort Fokuo-Ameyaw
• Ivy Folds, MLT, ASCP
• Foot and Leg Clinic, PA (Ambulatory Foot and Leg Surgical Center)
• Kelsey Irene Fortier, NP-C
• Fortified Home Healthcare
• Fortitude Matters Consulting
• Tracey M Fortner, FNP-BC
• Foster Cares Transport, LLC

• Foot & Ankle Surgery Podiatrist in Austell, GA
• Providers in Austell, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.