Organization Active NPI

Lanier Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Gainesville, GA
National Provider Identifier
1417511700
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LANIER FOOT AND ANKLE LLC
Practice address
447 Ee Butler Pkwy FL 1
Gainesville, GA 30501-4524
Phone
(770) 796-0005
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Gregory SuttonNPI 1144699869
Title
Owner
Phone
(770) 796-0005

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: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

447 Ee Butler Pkwy FL 1
Gainesville, GA 30501-4524

Mailing address

447 Ee Butler Pkwy FL 1
Gainesville, GA 30501-4524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200923001633 GA Part B Supplier - Clinic/Group Practice 3678992716 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2172073Lanier Foot and Ankle, LLC447 Ee Butler Parkway, Floor 1, Gainesville, GA 30501Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

447 EE Butler Pkwy
Fl 1
Gainesville, GA 30501
Phone (770) 796-0005

Practitioners & affiliated clinicians

Practitioners 2

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": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1417511700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 EE BUTLER PKWY FL 1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 EE BUTLER PKWY FL 1",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014524",
            "telephone_number": "770-796-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-796-0005"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.