Organization Active NPI

Advanced Foot and Ankle Institute of Georgia

  • Podiatric Clinic/Center
  • Smyrna, GA
National Provider Identifier
1295091882
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
ADVANCED FOOT AND ANKLE INSTITUTE OF GEORGIA
Practice address
2430 Herodian Way SE
Suite 210
Smyrna, GA 30080-2980
Phone
(678) 679-3421
Fax
(678) 679-3430
NPI assigned
Apr 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Fui Fui Dawson, DPMNPI 1275799405
Title
President
Phone
(678) 679-3421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

2430 Herodian Way SE
Suite 210
Smyrna, GA 30080-2980

Mailing address

2430 Herodian Way SE
Suite 210
Smyrna, GA 30080-2980
Phone (678) 679-3421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000310 GA Part B Supplier - Clinic/Group Practice 6709040660 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

3535 Roswell Rd
Ste 54
Marietta, GA 30062
Phone (404) 943-1979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1295091882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 HERODIAN WAY SE",
            "address_2": "SUITE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802980",
            "telephone_number": "678-679-3421",
            "fax_number": "678-679-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 HERODIAN WAY SE",
            "address_2": "SUITE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802980",
            "telephone_number": "678-679-3421",
            "fax_number": "678-679-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT AND ANKLE INSTITUTE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-08",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "FUI",
        "authorized_official_middle_name": "FUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-679-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.

Verify at the official NPI Registry.