Individual provider Active NPI

Jeffrey P Flash, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Forest Park, GA
National Provider Identifier
1255318937
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000808 Issued in GA
Practice address
425 Forest Pkwy Ste 101
Forest Park, GA 30297
Phone
(404) 363-9944
Fax
(404) 363-9951
NPI assigned
Dec 23, 2005
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000808 GA Primary

Addresses

Primary practice location

425 Forest Pkwy Ste 101
Forest Park, GA 30297

Mailing address

425 Forest Pkwy
Suite 101
Forest Park, GA 30297-2185
Phone (404) 363-9944

Other practice location 1

1109 Eagles Landing Pkwy
Stockbridge, GA 30281-6394
Phone (404) 363-9944

Other practice location 2

122 N Park Dr
Fayetteville, GA 30214-1645
Phone (404) 363-9944

Other identifiers 1

IdentifierTypeStateIssuer
000749856AMedicaidGA

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
I20110615000656 GA Practitioner - Podiatry 7113104365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

425 Forest Pkwy
Suite 101
Forest Park, GA 30297-2135
Phone 40436399441106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue97
Removal of skin lesions21
Removal of nail tissue631
Removal or shaving of skin growth115
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000808GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Foot & Leg Specialists, P.C. CurrentSince Oct 29, 1997 Accepting new patients
American Foot & Leg Specialists, P.C. Foot & Ankle Surgery CurrentSince Oct 29, 1997 Accepting new patients

Locations

122 N Park Dr
Fayetteville, GA 30214
Phone (404) 363-9944

425 Forest Pkwy
Ste 101
Forest Park, GA 30297
Phone (404) 363-9944

1109 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (404) 363-9944

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1255318937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY",
            "address_2": "SUITE 101",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972185",
            "telephone_number": "404-363-9944",
            "fax_number": "404-363-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY STE 101",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "30297",
            "telephone_number": "404-363-9944",
            "fax_number": "404-363-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816394",
            "country_code": "US",
            "telephone_number": "404-363-9944",
            "fax_number": "770-507-8706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 N Park Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302141645",
            "country_code": "US",
            "telephone_number": "404-363-9944",
            "fax_number": "770-460-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLASH",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000749856A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

Verify at the official NPI Registry.