Jose Manuel Gonzalez, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001285 Issued in GA

Practice address

1650 Mulkey Rd
Austell, GA 30106-1186

Phone

(770) 745-5101

Fax

(770) 745-9740

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Podiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.6 of 100Reported as group

Quality

88.21

Promoting interoperability

100

Improvement activities

40

Cost

83.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Peachtree City, GA
  • NPI 1992003479
  Medicare reassignment Care Compare group NPD
• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Smyrna, GA
  • NPI 1134462591
  NPD
• Ankle and Foot Center of Georgia,LLC

  • Podiatrist
  • Lagrange, GA
  • NPI 1750436127
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1265818975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-427-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061186",
            "telephone_number": "770-745-5101",
            "fax_number": "770-745-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Mulkey Rd.",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061186",
            "country_code": "US",
            "telephone_number": "770-745-5101",
            "fax_number": "770-745-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001285",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Sunrise Healthcare LLC
• Bruce D Goldsweig, MD
• Marion Gomeyac
• Melchor Capuyan Gomeyac
• Elman Otniel Gonzales Hernandez, PA
• Emily A Goolsby, CNM
• Jason Gordon, MD
• Pamela Gordon, MBCHB
• Michelle Gorzelnik, PA
• Anjali Parmar Grandhige, M.D.

• Podiatrist in Austell, GA
• Providers in Austell, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.