Foot and Ankle Reconstruction of Georgia PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND ANKLE RECONSTRUCTION OF GEORGIA PC

Practice address

970 Woodstock Pkwy Ste 200
Woodstock, GA 30188-4869

Phone

(770) 999-0804

Fax

(770) 999-0814

NPI assigned

Nov 2, 2022

Last updated

Sep 5, 2024By 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

Andrea Cass, DPMNPI 1942447446

Title

Owner / Provider

Phone

(404) 295-6412

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Andrea Dawn Cass, DPM

  • Podiatrist
  • Smyrna, GA
  • NPI 1942447446
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Distefano, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
  • NPI 1013357383
  Medicare reassignment Care Compare group NPD
• Joe Taltson Southerland, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jasper, GA
  • NPI 1659321107
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1356058937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 WOODSTOCK PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884869",
            "telephone_number": "770-999-0804",
            "fax_number": "770-999-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 WOODSTOCK PKWY STE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884869",
            "telephone_number": "770-999-0804",
            "fax_number": "770-999-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 GORDON RD STE 104",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301433014",
            "country_code": "US",
            "telephone_number": "770-999-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT AND ANKLE RECONSTRUCTION OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "CASS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "404-295-6412",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.fargeorgia.com",
            "affiliation": "N",
            "address_1": "970 Woodstock Pkwy Ste 200",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301884869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Foot and Ankle Reconstruction of North Georgia P.C
• John H Foote, MD
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• Foundation Dental Partners Georgia, P.C.
• Heather Catherine Fowler, LDO, ABOC, NCLEC

• Foot & Ankle Surgery Podiatrist in Woodstock, GA
• Providers in Woodstock, 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 Sep 5, 2024; 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.