Active NPI
Lawrenceville Foot and Ankle Specialists
- Foot & Ankle Surgery Podiatrist
- Lawrenceville, GA
National Provider Identifier
1235747031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- LAWRENCEVILLE FOOT AND ANKLE SPECIALISTS
- Practice address
- 600 Professional Dr Ste 130
Lawrenceville, GA 30046-7638 - Phone
- (770) 225-0434
- NPI assigned
- Jul 17, 2020
- Last updated
- Feb 18, 2026
- 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
- Cassandra Corzealious
- Title
- Office Manager
- Phone
- (770) 255-0434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
600 Professional Dr Ste 130
Lawrenceville, GA 30046-7638
Mailing address
600 Professional Dr Ste 130
Lawrenceville, GA 30046-7638
Phone (651) 757-7516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Lawrenceville, GA
- NPI 1194245894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1235747031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PROFESSIONAL DR STE 130",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467638",
"telephone_number": "651-757-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PROFESSIONAL DR STE 130",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467638",
"telephone_number": "770-225-0434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCEVILLE FOOT AND ANKLE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-17",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "CORZEALIOUS",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-255-0434"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Lawrenceville Eyecare LLC
- Lawrenceville Family Chiropractic
- Lawrenceville Family Dental Care, P.C.
- Lawrenceville Family Dentistry
- Lawrenceville Family Practice
- Lawrenceville Healthy Smiles LLC
- Lawrenceville Medical Supplies LLC
- Lawrenceville Pediatric Dentistry
- Lawrenceville Senior Living, LLC (Courtyard Gardens Assisted Living and Memory Care Community)
- Lawrenceville Surgery Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.