Foot and Ankle Reconstruction of North Georgia PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC

Practice address

49 Gordon Road
Suite 104
Jasper, GA 30143-1017

Phone

(770) 999-0804

Fax

(770) 999-0814

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Bret J Hintze, DPM

Title

Authorized Official

Phone

(770) 999-0804

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Andrea Dawn Cass, DPM

  • Podiatrist
  • Smyrna, GA
  • NPI 1942447446
  Medicare reassignment NPD

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1619341393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GORDON ROAD",
            "address_2": "SUITE 104",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431017",
            "telephone_number": "770-999-0804",
            "fax_number": "770-999-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GORDON ROAD",
            "address_2": "SUITE 104",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431017",
            "telephone_number": "770-999-0804",
            "fax_number": "770-999-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "HINTZE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "770-999-0804",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlton Trent Faulk, MEDICAL DOCTOR
• Crystal Lynn Favre, LPC007028, GEORGIA
• First Mountain Medical, LLC
• Lisa Ann Flint, APRN
• Russell Austin Flint, MD
• Fortis Health, LLC
• Joshua D Foulk, DMD
• Evan Frisbee, DMD
• Jeffrey L Frye, MD
• Gajasper SNF LLC (Grandview Health Care Center)

• Foot & Ankle Surgery Podiatrist in Jasper, GA
• Providers in Jasper, 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 Feb 22, 2019; 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.