Individual provider Active NPI

Candice Nicole Escalea, DPM

  • Foot & Ankle Surgery Podiatrist
  • Marietta, GA
National Provider Identifier
1679739742
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001116 Issued in GA
Practice address
2483 Powder Springs Rd SW Ste C
Marietta, GA 30064-4573
Phone
(678) 370-0970
Fax
(678) 370-0971
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001116 GA Primary

Addresses

Primary practice location

2483 Powder Springs Rd SW Ste C
Marietta, GA 30064-4573

Mailing address

2483 Powder Springs Rd SW Ste C
Marietta, GA 30064-4573
Phone (678) 370-0970

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100811000563 GA Practitioner - Podiatry 0244364354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2483 Powder Springs Rd SW
Suite C
Marietta, GA 30064-4573
Phone (678) 370-0970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue225
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001116GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Ankle & Foot Care, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

1300 Ridenour Blvd NW
Ste 100
Kennesaw, GA 30152
Phone (470) 232-0073

2483 Powder Springs Rd SW
Ste C
Marietta, GA 30064
Phone (678) 370-0970

Interoperability endpoints

  • Direct secure messaging: cescalea@prestigeafc.emadirect.md

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1679739742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 POWDER SPRINGS RD SW STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644573",
            "telephone_number": "678-370-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 POWDER SPRINGS RD SW STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644573",
            "telephone_number": "678-370-0970",
            "fax_number": "678-370-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALEA",
        "first_name": "CANDICE",
        "middle_name": "NICOLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.