Individual provider Active NPI

Anthony M. Cutsuries, DPM

  • Podiatrist
  • Lawrenceville, GA
National Provider Identifier
1124093273
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000739 Issued in GA
Practice address
500 Medical Center Blvd Ste 100
Lawrenceville, GA 30046-3330
Phone
(770) 822-2166
Fax
(770) 237-2934
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000739 GA Primary

Addresses

Primary practice location

500 Medical Center Blvd Ste 100
Lawrenceville, GA 30046-3330

Mailing address

900 Circle 75 Pkwy SE Ste 900
Atlanta, GA 30339-3084
Phone (678) 426-2171

Other identifiers 2

IdentifierTypeStateIssuer
2600025OtherGAUNITED HEALTHCARE
2701691OtherGAEVERCARE

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
I20080716000341 GA Practitioner - Podiatry 9032157037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

500 Medical Ctr Blvd
Suite 100
Lawrenceville, GA 30046-3330
Phone (770) 822-2166

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of skin lesions36
Removal of nail tissue354
Removal or shaving of skin growth220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
739GAMDClinical Social Worker
POD000739GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Jul 1, 1997 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Jul 1, 1997 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist PastSince Aug 24, 2018 Accepting new patients

Locations

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

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

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

3655 Howell Ferry Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-8283

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

500 Medical Center Blvd
Ste 100
Lawrenceville, GA 30046
Phone (770) 682-6000

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: anthony.cutsuries.1@4399.direct.athenahealth.com

Organizations & group practices 5

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1124093273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "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": "500 MEDICAL CENTER BLVD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463330",
            "telephone_number": "770-822-2166",
            "fax_number": "770-237-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTSURIES",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2600025",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2701691",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.