Individual provider Active NPI

Jennifer S Price, DPM

  • Podiatrist
  • Douglasville, GA
National Provider Identifier
1124010863
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000991 Issued in GA
Practice address
8855 Hospital Dr.
Ste. 150
Douglasville, GA 30134-2267
Phone
(678) 838-4443
Fax
(678) 838-4083
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group II LLC 70 clinicians
Village Podiatry Group LLC 51 clinicians

Practice addresses (Care Compare)

8855 Hospital Dr
Suite 150
Douglasville, GA 30134-2256
Phone (678) 838-4443

8855 Hospital Dr
Suite 150
Douglasville, GA 30134-2267
Phone (678) 838-4443

Hospital & facility affiliations

  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions13
Removal of nail tissue1899
Removal or shaving of skin growth666
Skin biopsy1-10

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
I20050413001299 GA Practitioner - Podiatry 4981641651 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000991GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group LLC Podiatrist CurrentSince Mar 1, 2005 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Mar 1, 2005 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Georgia Foot & Ankle, P.C. Podiatrist Past Accepting new patients
Georgia Foot & Ankle, P.C. Podiatrist Past Accepting new patients

Locations

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

900 Circle 75 Pkwy SE
Ste 900
Atlanta, GA 30339
Phone (678) 426-2171

1610 Mulkey Rd
Austell, GA 30106
Phone (770) 544-0444

8855 Hospital Dr
Ste 150
Douglasville, GA 30134
Phone (678) 838-4443

6084 Professional Pkwy
Ste B
Douglasville, GA 30134
Phone (678) 838-4443

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: jennifer.price.1@4399.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000991 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

8855 Hospital Dr.
Ste. 150
Douglasville, GA 30134-2267

Mailing address

1350 Upper Hembree Rd Ste 100
Roswell, GA 30076-0929
Phone (678) 426-2171

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
043309952MMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2022.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124010863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 UPPER HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760929",
            "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": "8855 HOSPITAL DR.",
            "address_2": "STE. 150",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342267",
            "telephone_number": "678-838-4443",
            "fax_number": "678-838-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043309952M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.