Atlantic Foot and Ankle Specists
Organization Active NPI Foot & Ankle Surgery Podiatrist · Pooler, GA
NPI 1295873636 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1295873636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ATLANTIC FOOT AND ANKLE SPECISTS
- Practice address
- 114 Canal St Ste 703
Pooler, GA 31322-4291 - Phone
- (912) 988-3323
- Fax
- (912) 988-3612
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Melissa F Robitaille, DPM
- Title
- Owner
- Phone
- (912) 988-3323
Corporate family (same tax ID) 1
Practitioners 2
-
Melissa Robitaille, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426001073 | GA | Part B Supplier - Clinic/Group Practice | 6406843226 |
Receives reassigned benefits from 2 practitioners Practice locations: Pooler, GA |
| O20100930048732 | GA | DME Supplier - Physician - Podiatry | 6406843226 | Practice locations: Pooler, GA |
National Provider Directory
- Tax ID family
- Atlantic Foot and Ankle Specialists
Locations
114 Canal St
Ste 703
Pooler, GA 31322
Phone (912) 988-3323
803 E 68th St
Savannah, GA 31405
Phone (912) 351-3038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
114 Canal St Ste 703
Pooler, GA 31322-4291
Mailing address
114 Canal St Ste 703
Pooler, GA 31322-4291
Phone (912) 988-3323
Other names
- Atlantic Foot & Ankle Specialists
Other providers in Pooler, GA
- Apex Health and Pain LLC
- Apex Heart Health Center
- Applecare/Memorial Immediate Care Joint Venture LLC
- Tiffany Rose Arkwright
- Keishla Marie Arroyo
- Atlantic Foot and Ankle Specists
- Atlantic Radiology Associates, LLC
- Atlas Physiotherapy, Inc
- Audiology Solutions
- Rhanita C Austin
All providers in Pooler, GA · Foot & Ankle Surgery Podiatrist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.