NPIMap

Organization Active NPI

Foot and Ankle Health Centers, LLC

  • Foot & Ankle Surgery Podiatrist
  • Suwanee, GA
National Provider Identifier
1194126375
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001248 Issued in GA
Legal business name
FOOT AND ANKLE HEALTH CENTERS, LLC
Practice address
3925 Johns Creek CT
Suite C2
Suwanee, GA 30024-6618
Phone
(678) 871-0876
Fax
(678) 871-0836
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Dr. Vasudha Rani Shah, D.P.M.NPI 1255629234
Title
Podiatrist
Phone
(678) 871-0876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD001248 GA Primary

Addresses

Primary practice location

3925 Johns Creek CT
Suite C2
Suwanee, GA 30024-6618

Mailing address

3925 Johns Creek CT
Suite C2
Suwanee, GA 30024-6618
Phone (678) 871-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151020002459 GA Part B Supplier - Clinic/Group Practice 5698084390 Receives reassigned benefits from 2 practitioners
Practice locations: Johns Creek, GA
O20160609002620 GA DME Supplier - Physician - Podiatry 5698084390 Practice locations: Johns Creek, GA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11046/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1194126375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 JOHNS CREEK CT",
            "address_2": "SUITE C2",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246618",
            "telephone_number": "678-871-0876",
            "fax_number": "678-871-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 JOHNS CREEK CT",
            "address_2": "SUITE C2",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246618",
            "telephone_number": "678-871-0876",
            "fax_number": "678-871-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VASUDHA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "678-871-0876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.