Individual provider Active NPI

Ana Recendiz

  • Foot & Ankle Surgery Podiatrist
  • Gainesville, GA
National Provider Identifier
1245742642
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001455 Issued in GA
Practice address
447 Ee Butler Pkwy FL 1
Gainesville, GA 30501-4524
Phone
(770) 796-0005
NPI assigned
Oct 26, 2017
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X POD001455 GA Primary

Addresses

Primary practice location

447 Ee Butler Pkwy FL 1
Gainesville, GA 30501-4524

Mailing address

447 Ee Butler Pkwy FL 1
Gainesville, GA 30501-4524
Phone (815) 505-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923002157 GA Practitioner - Podiatry 5092134148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lanier Foot and Ankle LLCGroup PAC ID 3678992716, 2 clinicians

Practice addresses (Care Compare)

447 Ee Butler Pkwy
FL 1
Gainesville, GA 30501-4524
Phone (770) 796-0005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

447 EE Butler Pkwy
Fl 1
Gainesville, GA 30501
Phone (770) 796-0005

Interoperability endpoints

  • Direct secure messaging: ana.recendiz.1@27716.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1245742642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 EE BUTLER PKWY FL 1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014524",
            "telephone_number": "815-505-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 EE BUTLER PKWY FL 1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014524",
            "telephone_number": "770-796-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECENDIZ",
        "first_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2020-12-07",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.