Essential Foot and Ankle Care, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001066 Issued in GA

Legal business name

ESSENTIAL FOOT AND ANKLE CARE, INC

Practice address

285 Boulevard NE
Suite 525
Atlanta, GA 30312-4205

Phone

(470) 333-8855

Fax

(866) 516-2755

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeane P Watson, DPM

Title

Owner

Phone

(470) 333-8855

Specialties & licenses 1

Addresses

Other names 1

• Jeane Watson, Inc Former legal business name

Locations

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1457753014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 ROSEWOOD PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135110",
            "telephone_number": "470-333-8855",
            "fax_number": "866-516-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "470-333-8855",
            "fax_number": "866-516-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL FOOT AND ANKLE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-333-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeane Watson, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.