Foot and Ankle Reconstruction Center of Georgia LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND ANKLE RECONSTRUCTION CENTER OF GEORGIA LLC

Practice address

1025 E Freeway Dr SE
Conyers, GA 30094-5965

Phone

(937) 477-4445

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Darrice Collins, DPM

Title

Owner/Physician

Phone

(937) 477-4445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1043773914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E FREEWAY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945965",
            "telephone_number": "770-929-3338",
            "fax_number": "770-760-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E FREEWAY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945965",
            "telephone_number": "937-477-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE RECONSTRUCTION CENTER OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DARRICE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "937-477-4445",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Andrea Armor Fleary, PT
• Darlene Fletcher, LPC
• Tiffany Louise Floyd, PHARM.D
• Cynthia Fombutu, PHARM D
• Foot and Ankle Institute of Georgia
• Brittany Forbes
• Jennifer Krasevec Ford, RD
• Kasharel Forrest
• Fortin Chiropractic & Athletic Health Care Center
• Daniel Patric Fortin, DC

• Foot & Ankle Surgery Podiatrist in Conyers, GA
• Providers in Conyers, 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 Aug 22, 2019; 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.