Active NPI
Donald Rubertino Powell, DPM
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD00135
- Practice address
- 550 Peachtree St NE
Ste 1615
Atlanta, GA 30308-2212 - Phone
- (678) 702-0620
- Fax
- (678) 702-0621
- NPI assigned
- Feb 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD00135 | GA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3482 | FL |
Addresses
Primary practice location
550 Peachtree St NE
Ste 1615
Atlanta, GA 30308-2212
Mailing address
1975 Highway 54 W
Suite 205
Peachtree City, GA 30269-4794
Phone (678) 561-9000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003131663C | Medicaid | GA | |
| 202I487348 | Other | GA | MEDICARE PTAN |
| 003131663B | Medicaid | GA | |
| 003131663A | Medicaid | GA |
Other names 1
- Donald Kirk Mosley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1975 Hwy 54 W
Peachtree City, GA 30269-4794
2675 N Decatur Rd
Suite 607
Decatur, GA 30033-6134
Phone (404) 508-4026
966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.6 of 100
- Quality
- 88.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 226 |
| Removal or shaving of skin growth | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD00135 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle and Foot Centers of Georgia, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle and Foot Centers of Georgia, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle and Foot Center of Georgia,LLC | Past | Accepting new patients | |
| Ankle and Foot Centers of Georgia, LLC | Past | Accepting new patients |
Locations
13057 Highway 9 N
Ste 210
Alpharetta, GA 30004
Phone (770) 559-0348
550 Peachtree St NE
Ste 1615
Atlanta, GA 30308
Phone (404) 230-5622
3425 Buford Dr
Ste 350
Buford, GA 30519
Phone (470) 589-1617
795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852
624 Newnan St
Carrollton, GA 30117
Phone (770) 834-6669
5335 Old National Hwy
College Park, GA 30349
Phone (404) 768-3668
1380 Milstead Ave NE
Ste B
Conyers, GA 30012
Phone (770) 483-1100
3152 Highway 278 NW
Covington, GA 30014
Phone (678) 342-3088
765 Peachtree Pkwy
Ste 1
Cumming, GA 30041
Phone (678) 208-6788
2675 N Decatur Rd
Ste 607
Decatur, GA 30033
Phone (404) 501-7676
265 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 460-7600
1975 Beverly Rd
#B
Gainesville, GA 30501
Phone (770) 536-9908
1521 W McIntosh Rd
Griffin, GA 30223
Phone (404) 524-0095
7130 Mount Zion Blvd
Ste 13
Jonesboro, GA 30236
Phone (770) 478-3668
1075 Lafayette Pkwy
Ste 200
Lagrange, GA 30241
Phone (678) 347-2123
748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230
2520 Windy Hill Rd SE
Ste 205
Marietta, GA 30067
Phone (404) 228-9892
2326 Highway 34 E
Ste 200
Newnan, GA 30265
Phone (678) 561-9000
1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000
1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668
1767 Rock Quarry Rd
Stockbridge, GA 30281
Phone (770) 474-4395
4385 Johns Creek Pkwy
Ste 200
Suwanee, GA 30024
Phone (770) 349-9861
5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374
980 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (770) 926-4641
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.
-
- Foot & Ankle Surgery Podiatrist
- Peachtree City, GA
- NPI 1992003479
-
- Foot & Ankle Surgery Podiatrist
- Smyrna, GA
- NPI 1134462591
-
- Podiatrist
- Lagrange, GA
- NPI 1750436127
-
- Non-Pharmacy Dispensing Site
- Atlanta, GA
- NPI 1225686991
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1578869046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 HIGHWAY 54 W",
"address_2": "SUITE 205",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694794",
"telephone_number": "678-561-9000",
"fax_number": "770-487-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "STE 1615",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "678-702-0620",
"fax_number": "678-702-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "DONALD",
"middle_name": "RUBERTINO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-01",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "GA",
"license": "POD00135",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3482",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003131663C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I487348",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003131663B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003131663A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONALD",
"last_name": "MOSLEY",
"middle_name": "KIRK",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.