Atlanta Premier Foot and Ankle Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ATLANTA PREMIER FOOT AND ANKLE SURGERY

Practice address

100 Stoneforest Dr Ste 120
Woodstock, GA 30189-4881

Phone

(404) 245-4969

NPI assigned

Oct 5, 2018

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nrup Tolat, DPMNPI 1275914749

Title

Podiatrist

Phone

(404) 245-4969

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689149601. Details of each certification follow.

• CCN 11C0001524 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 11C0001524

Legal name

ATLANTA PREMIER FOOT & ANKLE SURGERY, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 8, 2020

Last certification

Jul 8, 2020

Ownership / control type

Proprietary

Facility address

100 Stoneforest Drive, Suite 120
Woodstock, GA 30189

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Nrup Tolat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodstock, GA
  • NPI 1275914749
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1689149601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SUGAR MAPLE CV NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018815",
            "telephone_number": "140-424-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894881",
            "telephone_number": "404-245-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PREMIER FOOT AND ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "TOLAT",
        "authorized_official_first_name": "NRUP",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "404-245-4969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlas Initiative
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• Alisia D. Austin

• Ambulatory Surgical Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.