Individual provider Active NPI

Donald Rubertino Powell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
National Provider Identifier
1578869046
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD00135 Issued in GA
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

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003131663CMedicaidGA
202I487348OtherGAMEDICARE PTAN
003131663BMedicaidGA
003131663AMedicaidGA

Other names 1

  • Donald Kirk Mosley Former name

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
I20121128000688 GA Practitioner - Podiatry 2062680135 Reassigns benefits to 1 organization

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
Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

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 100Reported as group
Quality
88.21
Promoting interoperability
100
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue226
Removal or shaving of skin growth13

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
POD00135GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Nov 1, 2012 Accepting new patients
Ankle and Foot Centers of Georgia, LLC Foot & Ankle Surgery CurrentSince Nov 1, 2012 Accepting new patients
Ankle and Foot Center of Georgia,LLC Past Accepting new patients
Ankle and Foot Centers of Georgia, LLC PastSince Sep 1, 2019 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.