Organization Active NPI

A. Louis Jimenez, D.P.M., P.C.

Doing business as Jimenez Foot, Ankle & Leg Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Snellville, GA
National Provider Identifier
1205910528
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
111126ASCA Issued in GA
Legal business name
A. LOUIS JIMENEZ, D.P.M., P.C.
Doing business as
Jimenez Foot, Ankle & Leg Ambulatory Surgery Center
Practice address
2175 North Rd
Snellville, GA 30078-2630
Phone
(770) 979-0900
NPI assigned
Oct 24, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. A Louis Jimenez, DPM
Title
Administrator/Physician
Phone
(770) 979-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 111126ASCA GA Primary

Addresses

Primary practice location

2175 North Rd
Snellville, GA 30078-2630

Mailing address

2175 North Rd
Snellville, GA 30078-2630
Phone (770) 979-0900

Other identifiers 2

IdentifierTypeStateIssuer
GRP4587OtherMEDICARE GROUP
CM4891OtherGARAILROAD MEDICARE PIN

Other names 1

  • Jimenez Foot, Ankle & Leg Ambulatory Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1205910528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 NORTH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782630",
            "telephone_number": "770-979-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 NORTH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782630",
            "telephone_number": "770-979-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. LOUIS JIMENEZ, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR/PHYSICIAN",
        "authorized_official_telephone_number": "770-979-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "111126ASCA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CM4891",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimenez Foot, Ankle & Leg Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.