Organization Active NPI

A. Louis Jimenez, DPM, PC

Doing business as Primera Foot & Ankle Centers

  • Foot & Ankle Surgery Podiatrist
  • Snellville, GA
National Provider Identifier
1407054810
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000440 Issued in GA
Legal business name
A. LOUIS JIMENEZ, DPM, PC
Doing business as
Primera Foot & Ankle Centers
Practice address
2220 Wisteria Dr
Suite 202
Snellville, GA 30078-4604
Phone
(770) 979-0900
Fax
(770) 979-2852
NPI assigned
Jul 6, 2007
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Dorian Jimenez, DPM
Title
Ceo
Phone
(770) 979-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000440 GA Primary

Addresses

Primary practice location

2220 Wisteria Dr
Suite 202
Snellville, GA 30078-4604

Mailing address

PO Box 527
Snellville, GA 30078-0527
Phone (770) 979-0900

Other identifiers 2

IdentifierTypeStateIssuer
CM4891OtherGARAILROAD MEDICARE
000157957AMedicaidGA

Other names 1

  • Primera Foot & Ankle Centers Doing business as

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

2220 Wisteria Dr
Ste 202
Snellville, GA 30078
Phone (678) 344-4944

Practitioners & affiliated clinicians

Practitioners 1

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1407054810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780527",
            "telephone_number": "770-979-0900",
            "fax_number": "770-979-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "SUITE 202",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784604",
            "telephone_number": "770-979-0900",
            "fax_number": "770-979-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. LOUIS JIMENEZ, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-979-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM4891",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000157957A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primera Foot & Ankle Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.