Metro Foot and Ankle Centers, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001101 Issued in GA

Legal business name

METRO FOOT AND ANKLE CENTERS, PC

Practice address

8225 Mall Pkwy
Ste 230
Lithonia, GA 30038-6994

Phone

(334) 538-1020

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Javan S Bass, DPMNPI 1669601381

Title

Ceo

Phone

(334) 538-1020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javan S. Bass, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lithonia, GA
  • NPI 1669601381
  Medicare reassignment Authorized official
• Tommy Lee Tally, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Suwanee, GA
  • NPI 1427523919
  Medicare reassignment

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1598097149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY",
            "address_2": "STE 230",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386994",
            "telephone_number": "770-484-9599",
            "fax_number": "770-484-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 MALL PKWY",
            "address_2": "STE 230",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386994",
            "telephone_number": "334-538-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO FOOT AND ANKLE CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "JAVAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-538-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.