Active NPI
Advanced Foot and Ankle Institute of Georgia
- Podiatric Clinic/Center
- Smyrna, GA
National Provider Identifier
1295091882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fui Fui Dawson, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120606000310 | GA | Part B Supplier - Clinic/Group Practice | 6709040660 |
Receives reassigned benefits from 1 practitioner Practice locations: Marietta, GA |
National Provider Directory
National Provider DirectoryLocations
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.