Marieli A Colon, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

000996 Issued in GA

Practice address

425 Forest Pkwy Ste 101
Forest Park, GA 30297

Phone

(404) 363-9944

Fax

(404) 363-9951

NPI assigned

Dec 23, 2005

Last updated

Jul 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Foot and Leg Specialists, P.C.Group PAC ID 9436140555, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Foot & Leg Specialists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Forest Park, GA
  • NPI 1740324037

  Foot Surgery

  Medicare reassignment Care Compare group NPD
• American Foot & Leg Specialists, P.C.

  dba Ambulatory Laser & Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Forest Park, GA
  • NPI 1730360264
  NPD

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1407833015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY",
            "address_2": "SUITE 101",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972185",
            "telephone_number": "404-363-9944",
            "fax_number": "404-363-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY STE 101",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "30297",
            "telephone_number": "404-363-9944",
            "fax_number": "404-363-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4877 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483644",
            "country_code": "US",
            "telephone_number": "404-363-9944",
            "fax_number": "678-432-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816394",
            "country_code": "US",
            "telephone_number": "404-363-9944",
            "fax_number": "770-507-8706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 N Park Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302141645",
            "country_code": "US",
            "telephone_number": "404-363-9944",
            "fax_number": "770-460-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "MARIELI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "000996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510199753A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510199753B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Crisp & Associates II, LLC (Christians Health Services)
• Crisp & Associates III, LLC (Christians Medical Equipment & Supplies)
• Cross Keys Counseling Center, Inc.

• Foot Surgery Podiatrist in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Foot Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.