NPIMap

Organization Active NPI

MSW Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • Conyers, GA
National Provider Identifier
1396453445
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MSW PODIATRY, PC
Practice address
1567 Milstead Rd NE Ste a
Conyers, GA 30012-3835
Phone
(770) 483-2291
Fax
(770) 483-2927
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Matthew Scott Weintraub, DPMNPI 1902330848
Title
Owner / Podiatrist
Phone
(404) 583-4449

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1567 Milstead Rd NE Ste a
Conyers, GA 30012-3835

Mailing address

1567 Milstead Rd NE Ste a
Conyers, GA 30012-3835
Phone (770) 483-2291

Other names 1

  • Associated Foot and Ankle Specialists Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://associatedfootandankle.com/
Other URL https://associatedfootandankle.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230501002465 GA Part B Supplier - Clinic/Group Practice 4688039407 Receives reassigned benefits from 1 practitioner
Practice locations: Conyers, GA
O20230809001320 GA DME Supplier - Physician - Podiatry 4688039407 Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1396453445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 MILSTEAD RD NE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123835",
            "telephone_number": "770-483-2291",
            "fax_number": "770-483-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 MILSTEAD RD NE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123835",
            "telephone_number": "770-483-2291",
            "fax_number": "770-483-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSW PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER / PODIATRIST",
        "authorized_official_telephone_number": "404-583-4449",
        "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": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://associatedfootandankle.com/",
            "affiliation": "N",
            "address_1": "1567 Milstead Rd NE Ste A",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300123835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://associatedfootandankle.com/",
            "affiliation": "N",
            "address_1": "1567 Milstead Rd NE Ste A",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300123835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Associated Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associated Foot and Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.