Procare Foot and Ankle, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

PROCARE FOOT AND ANKLE, LLC

Practice address

117 Governors SQ Ste B
Peachtree City, GA 30269-4811

Phone

(678) 489-4210

Fax

(678) 489-4088

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Ebony B Conner, DPMNPI 1245531821

Title

Ceo

Phone

(678) 489-4210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Ebony B Conner, D.P.M

  • Foot Surgery Podiatrist
  • Peachtree City, GA
  • NPI 1245531821
  Medicare reassignment NPD Authorized official
• Heather D Driessen, DPM

  • Foot Surgery Podiatrist
  • Columbia, SC
  • NPI 1568602589

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1609398734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY # 592",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "678-489-4210",
            "fax_number": "678-489-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GOVERNORS SQ STE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694811",
            "telephone_number": "678-489-4210",
            "fax_number": "678-489-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Prime Point, Suite 100",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302696851",
            "country_code": "US",
            "telephone_number": "678-489-4210",
            "fax_number": "678-489-4088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Eagles Landing Pkwy # 592",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817343",
            "country_code": "US",
            "telephone_number": "678-884-6117",
            "fax_number": "678-894-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCARE FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-489-4210",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Podiatric Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.