Organization Active NPI

Eldridge Podiatry and Diabetes Center, LLC

  • Podiatric Clinic/Center
  • Atlanta, GA
National Provider Identifier
1508384892
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
001267 Issued in GA
Legal business name
ELDRIDGE PODIATRY AND DIABETES CENTER, LLC
Practice address
2275 Marietta Blvd NW Ste 270190
Atlanta, GA 30318-2004
Phone
(404) 736-7198
Fax
(404) 393-3657
NPI assigned
Sep 6, 2017
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Dr. Cheree Shantell Eldridge, DPMNPI 1891059887
Title
Owner
Phone
(404) 736-7198

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
Podiatric Clinic/Center 261QP1100X 001267 GA Primary

Addresses

Primary practice location

2275 Marietta Blvd NW Ste 270190
Atlanta, GA 30318-2004

Mailing address

2275 Marietta Blvd NW Ste 270190
Atlanta, GA 30318-2004
Phone (404) 736-7198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180314000369 GA Part B Supplier - Clinic/Group Practice 6800158684 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2275 Marietta Blvd NW
Ste 270190
Atlanta, GA 30318
Phone (205) 422-6419

910 Dannon Vw SW
Ste 2201
Atlanta, GA 30331
Phone (404) 585-1910

Practitioners & affiliated clinicians

Practitioners 2

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": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1508384892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "404-736-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "404-736-7198",
            "fax_number": "404-393-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDRIDGE PODIATRY AND DIABETES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "CHEREE",
        "authorized_official_middle_name": "SHANTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-736-7198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "001267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.