Individual provider Active NPI

Gemma P English, DPM

  • Foot Surgery Podiatrist
  • Braselton, GA
National Provider Identifier
1144668666
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD001299 Issued in GA
Practice address
1515 River PL Ste 370
Braselton, GA 30517-5605
Phone
(770) 648-5040
Fax
(706) 780-5366
NPI assigned
Jun 6, 2013
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PR 324 FL
Foot Surgery Podiatrist 213ES0131X POD001299 GA Primary

Addresses

Primary practice location

1515 River PL Ste 370
Braselton, GA 30517-5605

Mailing address

1515 River PL Ste 370
Braselton, GA 30517-5605
Phone (770) 648-5040

Other practice location 1

2561 Riverside Ave
Jacksonville, FL 32204-4722
Phone (904) 308-7374

Other identifiers 1

IdentifierTypeStateIssuer
003199928BMedicaidGA

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
I20160726002528 GA Practitioner - Podiatry 8123311354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Courtney Glenn, DPM LLCGroup PAC ID 8820307150, 2 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

1515 River PL
Suite 370
Braselton, GA 30517-5605
Phone (770) 648-5040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue601
Removal or shaving of skin growth278
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR 324FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Glenn DPM LLC Podiatrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

1515 River Pl
Ste 370
Braselton, GA 30517
Phone (770) 533-4770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1144668666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL STE 370",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175605",
            "telephone_number": "770-648-5040",
            "fax_number": "706-780-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RIVER PL STE 370",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175605",
            "telephone_number": "770-648-5040",
            "fax_number": "706-780-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2561 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044722",
            "country_code": "US",
            "telephone_number": "904-308-7374",
            "fax_number": "904-308-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "GEMMA",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PR 324",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD001299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003199928B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.