Individual provider Active NPI

Wizely Clauther, DPM

  • Podiatrist
  • Atlanta, GA
National Provider Identifier
1154732691
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001316 Issued in GA
Practice address
2950 Stone Hogan Connector Rd SW
Building 3 Suite a
Atlanta, GA 30331-2837
Phone
(404) 349-5100
Fax
(404) 349-3705
NPI assigned
May 19, 2014
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001316 GA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X R83410 NY

Addresses

Primary practice location

2950 Stone Hogan Connector Rd SW
Building 3 Suite a
Atlanta, GA 30331-2837

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150727002042 NY Practitioner - Podiatry 1052625670 Practice locations: Brooklyn, NY
I20160907001343 GA Practitioner - Podiatry 1052625670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Practice addresses (Care Compare)

5335 Old National Hwy
Atlanta, GA 30349-3203
Phone (404) 768-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
88.21
Promoting interoperability
100
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue248
Removal or shaving of skin growth134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R83410NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients
Ankle and Foot Center of Georgia,LLC Podiatrist Past Accepting new patients

Locations

13057 Highway 9 N
Ste 210
Alpharetta, GA 30004
Phone (770) 559-0348

5335 Old National Hwy
College Park, GA 30349
Phone (404) 768-3668

7130 Mount Zion Blvd
Ste 13
Jonesboro, GA 30236
Phone (770) 478-3668

1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668

1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000

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, 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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1154732691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY.",
            "address_2": "SUITE 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": "2950 STONE HOGAN CONNECTOR RD SW",
            "address_2": "BUILDING 3 SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "404-349-5100",
            "fax_number": "404-349-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUTHER",
        "first_name": "WIZELY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001316",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R83410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.