Organization Active NPI

Roswell Center for Foot & Ankle Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Roswell, GA
National Provider Identifier
1346240751
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
060-378 Issued in GA
Legal business name
ROSWELL CENTER FOR FOOT & ANKLE SURGERY, LLC
Practice address
1357 Hembree Rd Ste 100
Roswell, GA 30076-5710
Phone
(678) 990-9851
Fax
(678) 990-9869
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
David N. Helfman, DPMNPI 1629073481
Title
Ceo
Phone
(770) 384-0284

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 060-378 GA Primary

Addresses

Primary practice location

1357 Hembree Rd Ste 100
Roswell, GA 30076-5710

Mailing address

1357 Hembree Rd Ste 100
Roswell, GA 30076-5710
Phone (678) 990-9851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324000621 GA Part B Supplier - Ambulatory Surgical Center 1658327457 Practice locations: Roswell, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Roswell Center for Foot and Ankle Surgery LLCCCN 11C0001256
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0978041Roswell Center for Foot and Ankle Surgery LLC1357 Hembree Rd., Ste. 100, Roswell, GA 30076Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1250 Upper Hembree Rd
Roswell, GA 30076
Phone (678) 990-9851

Practitioners & affiliated clinicians

Practitioners 2

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1346240751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765710",
            "telephone_number": "678-990-9851",
            "fax_number": "678-990-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765710",
            "telephone_number": "678-990-9851",
            "fax_number": "678-990-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL CENTER FOR FOOT & ANKLE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "HELFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-384-0284",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "060-378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.