Organization Active NPI

Associated Foot and Ankle Centers LLC

  • Podiatric Clinic/Center
  • Macon, GA
National Provider Identifier
1518174861
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
000335 Issued in GA
Legal business name
ASSOCIATED FOOT AND ANKLE CENTERS LLC
Practice address
1854 Forsyth St
Suite 1
Macon, GA 31201-1169
Phone
(478) 745-2600
Fax
(478) 742-5657
NPI assigned
May 17, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Paul George Smaha II, DPM
Title
Partner
Phone
(478) 745-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 000335 GA Primary

Addresses

Primary practice location

1854 Forsyth St
Suite 1
Macon, GA 31201-1169

Mailing address

1854 Forsyth St
Suite 1
Macon, GA 31201-1169
Phone (478) 745-2600

Other names 1

  • AFA FOOT AND ANKLE CENTERS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000984 GA Part B Supplier - Clinic/Group Practice 9739177106 Receives reassigned benefits from 2 practitioners
Practice locations: Dublin, GA; Eastman, GA; Eatonton, GA; Macon, GA; Milledgeville, GA; Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

1103 Plaza Ave
Eastman, GA 31023
Phone (478) 257-5533

110 Harmony Xing
Ste 2
Eatonton, GA 31024
Phone (478) 745-2600

1854 Forsyth St
Macon, GA 31201
Phone (478) 745-2600

192 Roberson Mill Rd NE
Milledgeville, GA 31061
Phone (478) 745-2600

2811 Watson Blvd
Warner Robins, GA 31093
Phone (478) 745-2600

Practitioners & affiliated clinicians

Practitioners 3

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1518174861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 FORSYTH ST",
            "address_2": "SUITE 1",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011169",
            "telephone_number": "478-745-2600",
            "fax_number": "478-742-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 FORSYTH ST",
            "address_2": "SUITE 1",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011169",
            "telephone_number": "478-745-2600",
            "fax_number": "478-742-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FOOT AND ANKLE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SMAHA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "478-745-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "000335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFA FOOT AND ANKLE CENTERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.