Individual provider Active NPI

Tamanna Hoque, DPM

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
National Provider Identifier
1033859095
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD305075 Issued in GA
Practice address
505 Fairburn Rd SW Ste 100
Atlanta, GA 30331-2012
Phone
(404) 618-6077
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD305075 GA Primary

Addresses

Primary practice location

505 Fairburn Rd SW Ste 100
Atlanta, GA 30331-2012

Mailing address

505 Fairburn Rd SW Ste 100
Atlanta, GA 30331-2012

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260201000032 GA Practitioner - Podiatry 4688197569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3130 S Highland Dr
B4
Millcreek, UT 84106-3095

PO Box
Suite 30015
Salt Lake City, UT 84130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue38
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD305075GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Foot and Ankle Clinic Foot & Ankle Surgery CurrentSince Dec 1, 2025 Accepting new patients
Ellsworth Foot and Ankle Clinic Foot & Ankle Surgery CurrentSince Dec 1, 2025 Accepting new patients

Locations

505 Fairburn Rd SW
Ste 100
Atlanta, GA 30331
Phone (404) 618-6077

12523 S Creek Meadow Rd
Ste 105
Riverton, UT 84065
Phone (801) 337-5855

9980 S 300 W
Ste 310
Sandy, UT 84070
Phone 8012536886300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEAECD/Endpoint/AEAECD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1033859095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FAIRBURN RD SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FAIRBURN RD SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312012",
            "telephone_number": "404-618-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOQUE",
        "first_name": "TAMANNA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD305075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.