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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 111126ASCA
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP4587 | Other | MEDICARE GROUP | |
| CM4891 | Other | GA | RAILROAD MEDICARE PIN |
Other names 1
- Jimenez Foot, Ankle & Leg Ambulatory Surgery Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Primera Foot & Ankle Centers
- Foot & Ankle Surgery Podiatrist
- Snellville, GA
- NPI 1407054810
Member Of
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
- A Mind Without Borders LLC (Amwb)
- A Partner in Care Home Care
- A Place of Serenity, Inc.
- A Way of Being Psychotherapy and Consulting (A Way of Being)
- A-List Home Health Agency
- A. Louis Jimenez, DPM, PC (Primera Foot & Ankle Centers)
- A&M Medical Group LLC
- A2Z Home Care Partners LLC
- Aa Infusions LLC
- Aachele Home Care and Hospice LLC
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.