Atlanta Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000958 Issued in GA

Legal business name

ATLANTA PODIATRY PC

Practice address

4385 Johns Creek Pkwy
Suite 200
Suwanee, GA 30024-6093

Phone

(770) 418-0456

NPI assigned

Jul 23, 2006

Last updated

Apr 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rupal Patel Gupta, DPMNPI 1003810623

Title

Physician

Phone

(770) 418-0456

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rupal Patel Gupta, DPM

  • Foot & Ankle Surgery Podiatrist
  • Suwanee, GA
  • NPI 1003810623
  Authorized official Same address or phone

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1306867254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246093",
            "telephone_number": "770-418-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 JOHNS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246093",
            "telephone_number": "770-418-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-418-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.