NPIMap

Organization Active NPI

Georgia Foot & Ankle, P.C.

  • Podiatrist
  • Madison, GA
National Provider Identifier
1376718148
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000747 Issued in GA
Legal business name
GEORGIA FOOT & ANKLE, P.C.
Practice address
1075 S Main Street
Suite 200
Madison, GA 30650-2049
Phone
(770) 786-0070
Fax
(770) 786-9744
NPI assigned
Apr 23, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Steven Carter, DPMNPI 1891754529
Title
Owner
Phone
(770) 786-0070

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD000747 GA Primary

Addresses

Primary practice location

1075 S Main Street
Suite 200
Madison, GA 30650-2049

Mailing address

3160 Elm Street
Covington, GA 30014-2461
Phone (770) 786-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001147 GA Part B Supplier - Clinic/Group Practice 1254326937 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Covington, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3160 Elm St NE
Covington, GA 30014
Phone (770) 786-0070

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1376718148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 ELM STREET",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142461",
            "telephone_number": "770-786-0070",
            "fax_number": "770-786-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S MAIN STREET",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502049",
            "telephone_number": "770-786-0070",
            "fax_number": "770-786-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA FOOT & ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-786-0070",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.