NPIMap

Organization Active NPI

American Foot & Leg Specialists, P.C.

  • Ambulatory Surgical Clinic/Center
  • Forest Park, GA
National Provider Identifier
1730360264
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
031-040 Issued in GA
Legal business name
AMERICAN FOOT & LEG SPECIALISTS, P.C.
Practice address
425 Forest Pkwy Ste 103
Forest Park, GA 30297
Phone
(404) 363-1087
Fax
(404) 363-9951
NPI assigned
Nov 27, 2007
Organization subpart
Yes
Parent organization
AMERICAN FOOT & LEG SPECIALISTS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Jeffrey Flash, D.P.M.NPI 1255318937
Title
Medical Director of Surgical Serv.
Phone
(404) 363-9944

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
Ambulatory Surgical Clinic/Center 261QA1903X 031-040 GA Primary

Addresses

Primary practice location

425 Forest Pkwy Ste 103
Forest Park, GA 30297

Mailing address

425 Forest Pkwy
Suite 103
Forest Park, GA 30297-2185
Phone (404) 363-1087

Other identifiers 1

IdentifierTypeStateIssuer
997391295AMedicaidGA

Other names 1

  • Ambulatory Laser & Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151110001488 GA Part B Supplier - Ambulatory Surgical Center 9436140555 Practice locations: Forest Park, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
American Foot Leg Specialists PC5 organizations share this tax ID, including this one
Part of
American Foot Leg Specialists PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2558 Shallowford Rd NE
Ste 202
Atlanta, GA 30345
Phone (404) 329-4200

122 N Park Dr
Fayetteville, GA 30214
Phone (404) 363-9944

1075 Bandy Pkwy
Ste 125
Locust Grove, GA 30248
Phone (404) 363-9944

Practitioners 7

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
American Foot and Leg Specialists PCCCN 11C0001024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0963955Ambulatory Laser & Surgery Center425 Forest Pkwy Ste 103, Forest Park, GA 30297Certificate of waiverAug 16, 2027

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1730360264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY",
            "address_2": "SUITE 103",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972185",
            "telephone_number": "404-363-1087",
            "fax_number": "404-363-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FOREST PKWY STE 103",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "30297",
            "telephone_number": "404-363-1087",
            "fax_number": "404-363-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FOOT & LEG SPECIALISTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN FOOT & LEG SPECIALISTS, P.C.",
        "enumeration_date": "2007-11-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "FLASH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OF SURGICAL SERV.",
        "authorized_official_telephone_number": "404-363-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "031-040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "997391295A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Laser & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambulatory Laser & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.