Individual provider Active NPI

Joseph Nicholas Colasurdo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Watkinsville, GA
National Provider Identifier
1053801498
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001547 Issued in GA
Practice address
1610 Mars Hill Rd Ste a
Watkinsville, GA 30677-4891
Phone
(762) 999-8090
Fax
(706) 597-1998
NPI assigned
May 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001547 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 007215 NY
Foot & Ankle Surgery Podiatrist 213ES0103X POD001547 GA Primary

Addresses

Primary practice location

1610 Mars Hill Rd Ste a
Watkinsville, GA 30677-4891

Mailing address

6350 Lake Oconee Pkwy Ste 110
Greensboro, GA 30642-6490
Phone (706) 597-0102

Other practice location 1

4434 Columbia Rd Ste 106
Martinez, GA 30907-4563
Phone (706) 597-0102

Other practice location 2

2151 Eatonton Rd Ste I
Madison, GA 30650-5093
Phone (706) 597-0102

Other practice location 3

202 Insperon Dr Ste 202
Grovetown, GA 30813-0602
Phone (706) 597-0102 ext. 104

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
I20230614001715 GA Practitioner - Podiatry 8325406960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
26 Medical, LLCGroup PAC ID 0244500619, 6 clinicians

Practice addresses (Care Compare)

202 Insperon Dr
Suite 202
Grovetown, GA 30813-0602
Phone 7062570257204

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions1-10
Removal of nail tissue127
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001547GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
26 Medical, LLC Podiatrist CurrentSince Jun 19, 2023 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Da Vinci Foot and Ankle LLC Podiatrist Past Accepting new patients

Locations

6350 Lake Oconee Pkwy
Ste 110
Greensboro, GA 30642

202 Insperon Dr
Ste 202
Grovetown, GA 30813
Phone (706) 257-0257

2151 Eatonton Rd
Ste I
Madison, GA 30650
Phone (706) 257-0257

4434 Columbia Rd
Ste 106
Martinez, GA 30907
Phone 7062570257204

1610 Mars Hill Rd
Ste A
Watkinsville, GA 30677
Phone (706) 310-7115

Interoperability endpoints

  • Direct secure messaging: josephcolasurdo@mmc.medalliesdirect.net
  • Direct secure messaging: jcolasurdo17521@prd.direct.tbh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1053801498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAKE OCONEE PKWY STE 110",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306426490",
            "telephone_number": "706-597-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MARS HILL RD STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774891",
            "telephone_number": "762-999-8090",
            "fax_number": "706-597-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4434 Columbia Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309074563",
            "country_code": "US",
            "telephone_number": "706-597-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Eatonton Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "GA",
            "postal_code": "306505093",
            "country_code": "US",
            "telephone_number": "706-597-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Insperon Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308130602",
            "country_code": "US",
            "telephone_number": "706-597-0102 x104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLASURDO",
        "first_name": "JOSEPH",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001547",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007215",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.