Terry Dickerson, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000890 Issued in GA

Practice address

6567 Professional PL
Riverdale, GA 30274-2519

Phone

(770) 997-3668

NPI assigned

Aug 2, 2005

Last updated

Jul 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Special Care Podiatry of Georgia LLCGroup PAC ID 4880913490, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDHCAD/Endpoint/HDHCAD

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

• Riverdale Foot, Ankle and Leg Clinic

  • Foot & Ankle Surgery Podiatrist
  • Riverdale, GA
  • NPI 1699958421
  Medicare reassignment NPD Authorized official
• Special Care Podiatry of Georgia, LLC

  • Podiatrist
  • Byron, GA
  • NPI 1891195962
  Medicare reassignment Care Compare group NPD
• Georgia Mso LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1952196164
  Medicare reassignment NPD
• Hardy Renew Wellness,LLC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1952914368
  Medicare reassignment NPD
• Aria Podiatry Care PLLC

  • Podiatrist
  • Middleburg, FL
  • NPI 1568160091

  GA

  Medicare reassignment NPD
• Podiatry Company LLC

  • Podiatrist
  • Cambridge, MD
  • NPI 1457931610

  GA

  Medicare reassignment NPD
• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1598766313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 PROFESSIONAL PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 PROFESSIONAL PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742519",
            "telephone_number": "770-997-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00869679E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7302184",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "202833600",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52811908",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Health Corporation (Tara Diagnostic Center a Healthsouth Facility)
• Diagnostics Imaging Services (Omi Diagnostics)
• Diagnostics Imaging Services (Omi Diagnostics)
• Lee A Diamond, M.D.
• Eloy Edilberto Diaz Sr., M.D.
• Michael Angel Dicristina, M.D.
• Dignity Hospice and Healthcare LLC
• Divine Healing Healthcare & Durable Medical Equipment LLC
• Divine Private Home Care Provider
• Divine Source Healthcare Systems, Inc

• Foot & Ankle Surgery Podiatrist in Riverdale, GA
• Providers in Riverdale, 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 Jul 3, 2026; 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.

Verify at the official NPI Registry.