Organization Active NPI

Instep Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Stone Mountain, GA
National Provider Identifier
1689058174
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001061 Issued in GA
Legal business name
INSTEP PODIATRY, LLC
Practice address
5385 Five Forks Trickum Rd
Suite F
Stone Mountain, GA 30087-3018
Phone
(678) 718-5835
Fax
(770) 790-0054
NPI assigned
Jul 14, 2015
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Anastasia Thomas, DPMNPI 1740227859
Title
Physician/Owner
Phone
(678) 718-5835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001061 GA Primary

Addresses

Primary practice location

5385 Five Forks Trickum Rd
Suite F
Stone Mountain, GA 30087-3018

Mailing address

4045 Five Forks Trickum Rd SW
Suite D-17; PMB 248
Lilburn, GA 30047-2538
Phone (678) 718-5835

National Provider Directory

National Provider Directory

Locations

4045 Five Forks Trickum Rd SW
Lilburn, GA 30047
Phone (770) 381-4176

5385 Five Forks Trickum Rd
Stone Mtn, GA 30087
Phone (678) 404-8611

5385 Five Forks Trickum Rd
Ste F
Stone Mtn, GA 30087
Phone (678) 404-8611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1689058174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 FIVE FORKS TRICKUM RD SW",
            "address_2": "SUITE D-17; PMB 248",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472538",
            "telephone_number": "678-718-5835",
            "fax_number": "770-790-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873018",
            "telephone_number": "678-718-5835",
            "fax_number": "770-790-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTEP PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "678-718-5835",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.