Southern Foot and Ankle Institute LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHERN FOOT AND ANKLE INSTITUTE LLC

Practice address

11680 Great Oaks Way Ste 530
Alpharetta, GA 30022-2460

Phone

(770) 755-5749

Fax

(770) 755-5741

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Taryn Jones

Title

PM

Phone

(404) 966-5788

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Brian S Harley, DPM

  • Podiatrist
  • Alpharetta, GA
  • NPI 1659355584
  Medicare reassignment NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1720718414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 530",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222460",
            "telephone_number": "770-755-5749",
            "fax_number": "770-755-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 530",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222460",
            "telephone_number": "770-755-5749",
            "fax_number": "770-755-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Deputy Bill Cantrell Memorial Road Ste 180",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30040",
            "country_code": "US",
            "telephone_number": "770-755-5749",
            "fax_number": "770-755-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN FOOT AND ANKLE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "PM",
        "authorized_official_telephone_number": "404-966-5788"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pending",
            "affiliation": "N",
            "address_1": "11680 Great Oaks Way Ste 530",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300222460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southeast Medical Group, P.C.
• Southeast Medical Group, P.C.
• Southeast Oral Diagnostics LLC
• Southeast Primary Care Medical Group - Alabama LLC
• Southern Coast Transit LLC
• Southern Neurophysiology
• Southern Physician Practice Group PC
• Southerncare Inc
• Sovereign Rehabilitation of Georiga, LLC
• Crystal Ann Soyer Arrais, CNP

• Podiatrist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.