Individual provider Active NPI

Todd Roswell Becker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Statesboro, GA
National Provider Identifier
1558377143
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001051 Issued in GA
Practice address
17 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone
(912) 681-8000
Fax
(912) 681-8500
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001051 GA Primary

Addresses

Primary practice location

17 Grady Johnson Rd
Statesboro, GA 30458-6026

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

802 Towne Park Dr Ste 400
Rincon, GA 31326-5151
Phone (912) 681-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000137 GA Practitioner - Podiatry 2062419591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians
Ankle and Foot Assoc LLCGroup PAC ID 1355327107, 20 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Statesboro, GA 30458-0823

17 Grady Johnson Rd
Statesboro, GA 30458-6026
Phone (912) 681-8000

501 W Oneida St
Waycross, GA 31501-5337

501 W Oneida St
Waycross, GA 31501-6209
Phone (912) 283-6471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue119
Removal of skin lesions1-10
Removal of nail tissue386
Removal or shaving of skin growth73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001051GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Associates, LLC Foot & Ankle Surgery CurrentSince Jun 2, 2014 Accepting new patients
Ankle and Foot Associates, LLC Foot & Ankle Surgery CurrentSince Jun 2, 2014 Accepting new patients
Ankle and Foot Assoc, LLC Foot & Ankle Surgery PastSince Oct 9, 2022 Accepting new patients

Locations

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

802 Towne Park Dr
Ste 400
Rincon, GA 31326
Phone (912) 681-8000

17 Grady Johnson Rd
Statesboro, GA 30458
Phone (912) 681-8000

1088B Bermuda Run
Statesboro, GA 30458
Phone (912) 681-8000

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

Interoperability endpoints

  • Direct secure messaging: todd.becker@afal.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1558377143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GRADY JOHNSON RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586026",
            "telephone_number": "912-681-8000",
            "fax_number": "912-681-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Towne Park Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265151",
            "country_code": "US",
            "telephone_number": "912-681-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "TODD",
        "middle_name": "ROSWELL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.