Stride Foot & Ankle Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001203 Issued in GA

Legal business name

STRIDE FOOT & ANKLE CENTER, LLC

Practice address

4775 Jimmy Carter Blvd Ste 101
Norcross, GA 30093-3760

Phone

(678) 694-8407

Fax

(678) 694-8437

NPI assigned

Jul 28, 2018

Organization subpart

No

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

Authorized official

Name

Claude I Mayembe, DPMNPI 1306153838

Title

Owner

Phone

(678) 288-9205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Claude I Mayembe Sr., DPM

  • Podiatrist
  • Suwanee, GA
  • NPI 1306153838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1306323738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GLADSTONE PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246945",
            "telephone_number": "678-288-9205",
            "fax_number": "678-926-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 JIMMY CARTER BLVD STE 101",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933760",
            "telephone_number": "678-694-8407",
            "fax_number": "678-694-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE FOOT & ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-28",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "MAYEMBE",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-288-9205",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Stone, MT-BC
• Taylor Stowers, PHARMD
• Karl James Straub, PSY.D.
• Jeffrey Lee Strickland, D.C.
• Tricia Strickland, APRN
• Holly Stuckey, LCSW
• Hanoy Suggs
• Suket PC
• Emily Anne Muscarella Sule, DC
• Regina McCollum Sullivan, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.