Foot & Ankle Specialists of Northeast Georgia, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT & ANKLE SPECIALISTS OF NORTHEAST GEORGIA, LLC

Practice address

2312 Sparta Way Ste a
Buford, GA 30519-2001

Phone

(678) 619-1270

Fax

(678) 619-1272

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Zachary George Farley, DPMNPI 1114331436

Title

Physician / Owner

Phone

(678) 619-1270

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Zachary George Farley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Buford, GA
  • NPI 1114331436

  Foot & Ankle Surgery, GA

  Medicare reassignment NPD Authorized official
• Marina Isac, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1194452508

  GA

  Medicare reassignment

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1326600313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 SPARTA WAY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305192001",
            "telephone_number": "678-619-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 SPARTA WAY STE A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305192001",
            "telephone_number": "678-619-1270",
            "fax_number": "678-619-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF NORTHEAST GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "678-619-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1515 River Pl Ste 390",
            "city": "Braselton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305175605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniele Marie Fleming
• Florence Primary Care
• Florida Autism Center
• Bunmi Yemisi Folarinde, PHD, APRN, FNP-BC
• Alexandria Foley
• Debbie Forbes, MSW
• Allyshondria Leteia Ford
• Kaitlyn Forlenza, M.A.T
• Delancey Fortin, MA
• Adriana Denise Foster, OTD, OTR/L

• All providers in Buford, GA
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.