Organization Active NPI

Foot and Ankle Institute of Georgia

  • Foot & Ankle Surgery Podiatrist
  • Conyers, GA
National Provider Identifier
1649631037
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001201 Issued in GA
Legal business name
FOOT AND ANKLE INSTITUTE OF GEORGIA
Practice address
1815 Highway 138 SE # Sr
Suite 600
Conyers, GA 30013-2079
Phone
(770) 922-8922
Fax
(770) 922-8956
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Adrianne J Ross, D.P.MNPI 1639478407
Title
Owner
Phone
(770) 922-8922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X POD001201 GA Primary

Addresses

Primary practice location

1815 Highway 138 SE # Sr
Suite 600
Conyers, GA 30013-2079

Mailing address

1775 Parker Rd SE Ste C240
Conyers, GA 30094-6679
Phone (770) 922-8922

Other names 1

  • The Foot and Ankle Institute of Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160521000101 GA Part B Supplier - Clinic/Group Practice 7719276310 Receives reassigned benefits from 1 practitioner
Practice locations: Conyers, GA
O20170605001922 GA DME Supplier - Physician - Podiatry 7719276310 Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Locations

1775 Parker Rd SE
Ste C240
Conyers, GA 30094
Phone (678) 609-6282

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1649631037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE C240",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946679",
            "telephone_number": "770-922-8922",
            "fax_number": "770-922-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HIGHWAY 138 SE # SR",
            "address_2": "SUITE 600",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132079",
            "telephone_number": "770-922-8922",
            "fax_number": "770-922-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-922-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot and Ankle Institute of Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Foot and Ankle Institute of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.