Georgia Blue Foot and Ankle,LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001319 Issued in GA

Legal business name

GEORGIA BLUE FOOT AND ANKLE,LLC

Practice address

6554 Spring St
Douglasville, GA 30134-1897

Phone

(800) 891-4930

Fax

(770) 741-0775

NPI assigned

Jun 28, 2017

Last updated

Aug 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Matrece Green- Watson, DPMNPI 1801282892

Title

Owner/ Partner

Phone

(407) 844-4499

Specialties & licenses 1

Addresses

Other names 1

• Watson and Cowans Foot and Ankle Other name

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

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.

• Danielle Matrece Green-Watson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Douglasville, GA
  • NPI 1801282892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1508387796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COLLEGIATE DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274333",
            "telephone_number": "407-844-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 SPRING ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341897",
            "telephone_number": "800-891-4930",
            "fax_number": "770-741-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA BLUE FOOT AND ANKLE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "GREEN- WATSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MATRECE",
        "authorized_official_title_or_position": "OWNER/ PARTNER",
        "authorized_official_telephone_number": "407-844-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson and Cowans Foot and Ankle",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Watson and Cowans Foot and Ankle",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Podiatrist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.