Northeast Georgia Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001208 Issued in GA

Legal business name

NORTHEAST GEORGIA PODIATRY LLC

Practice address

590 S Enota Dr NE Ste 1a
Gainesville, GA 30501-2433

Phone

(470) 252-5756

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Purvi Shaan Shah, DPMNPI 1215164942

Title

Podiatrist

Phone

(470) 439-0324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Purvi Shaan Shah, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gainesville, GA
  • NPI 1215164942
  Medicare reassignment Care Compare group NPD Authorized official
• Margot Waldman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cumming, GA
  • NPI 1609287291
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1225575855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 S ENOTA DR NE STE 1A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012433",
            "telephone_number": "470-252-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S ENOTA DR NE STE 1A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012433",
            "telephone_number": "470-252-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Garnett St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183200",
            "country_code": "US",
            "telephone_number": "470-202-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PURVI",
        "authorized_official_middle_name": "SHAAN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "470-439-0324",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Physicians Group-Urgent Care, LLC
• Northeast Georgia Physicians Group, Inc.
• Northeast Georgia Physicians Group, Inc.
• Northeast Georgia Plastic Surgery
• Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center
• Northeast Georgia Rehabilitation Hospital LLC
• Northeast Georgia Specialty Group LLC
• Northeast Georgia Speech Center, Inc.
• Northeast Georgia Surgery Center
• Northeast Georgia Surgical Associates PC

• Foot & Ankle Surgery Podiatrist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.