Individual provider Active NPI

Azuka Ifeyinwa Nwaedozie, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Rome, GA
National Provider Identifier
1275780199
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001142 Issued in GA
Practice address
101 John Maddox Dr NW Ste a
Rome, GA 30165-1481
Phone
(678) 489-6589
Fax
(678) 489-6522
NPI assigned
Aug 21, 2008
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 006294 NY
Primary Podiatric Medicine Podiatrist 213EP1101X POD001142 GA
Foot & Ankle Surgery Podiatrist 213ES0103X POD001142 GA Primary

Addresses

Primary practice location

101 John Maddox Dr NW Ste a
Rome, GA 30165-1481

Mailing address

4129 Integrity Way
Powder Springs, GA 30127-2620
Phone (678) 489-6589

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
I20110414000749 GA Practitioner - Podiatry 5193886356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot, Ankle and Leg Center of Rome LLCGroup PAC ID 1759553647, 2 clinicians

Practice addresses (Care Compare)

101 John Maddox Dr NW
Suite a
Rome, GA 30165-1419

101 John Maddox Dr NW
Suite a
Rome, GA 30165-1481
Phone (706) 232-6739

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions44
Removal of nail tissue290
Removal or shaving of skin growth203
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot, Ankle & Leg Center of Rome LLC Foot & Ankle Surgery CurrentSince Sep 3, 2011 Accepting new patients
Easy Walk Foot Clinic LLC Foot & Ankle Surgery CurrentSince Oct 8, 2008 Accepting new patients
Special Care Podiatry of Georgia, LLC CurrentSince Dec 5, 2024 Accepting new patients
Diabetic Foot and Ankle Clinic of Georgia, Inc PastSince Dec 22, 2024 Accepting new patients

Locations

5604 Wendy Bagwell Pkwy
Ste 311
Hiram, GA 30141
Phone (770) 222-5881

253 N Main St
Ste G
Jonesboro, GA 30236
Phone (678) 489-6589

101 John Maddox Dr NW
Ste A
Rome, GA 30165
Phone (706) 232-6739

101 John Maddox Dr NW
Ste C
Rome, GA 30165
Phone (678) 489-6589

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

Interoperability endpoints

  • Direct secure messaging: anwaedozie@easywalkfootclinic.officeally.direct

Organizations & group practices 4

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1275780199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 INTEGRITY WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272620",
            "telephone_number": "678-489-6589",
            "fax_number": "678-489-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOHN MADDOX DR NW STE A",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651481",
            "telephone_number": "678-489-6589",
            "fax_number": "678-489-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAEDOZIE",
        "first_name": "AZUKA",
        "middle_name": "IFEYINWA",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006294",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD001142",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.