Individual provider Active NPI

Steven A Weiskopf, D.P.M.

  • Podiatrist
  • Woodstock, GA
National Provider Identifier
1750388237
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000889 Issued in GA
Practice address
1198 Buckhead Xing
Suite D
Woodstock, GA 30189-4257
Phone
(770) 928-9263
Fax
(770) 874-5860
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000889 GA Primary

Addresses

Primary practice location

1198 Buckhead Xing
Suite D
Woodstock, GA 30189-4257

Mailing address

900 Circle 75 Pkwy.
Ste. 900
Atlanta, GA 30339-3084
Phone (678) 426-2171

Other identifiers 1

IdentifierTypeStateIssuer
00937241AMedicaidGA

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
I20080626000238 GA Practitioner - Podiatry 0345272563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

1198 Buckhead Xing
D
Woodstock, GA 30189-4293
Phone (770) 928-9263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue1065
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000889GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group LLC Podiatrist CurrentSince Sep 4, 2001 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Sep 4, 2001 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients

Locations

900 Circle 75 Pkwy SE
Ste 900
Atlanta, GA 30339
Phone (678) 426-2171

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

1610 Mulkey Rd
Austell, GA 30106
Phone (770) 544-0444

132 Riverstone Ter
Ste 101
Canton, GA 30114
Phone (678) 880-0036

3655 Howell Ferry Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-8283

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

1198 Buckhead Xing
Ste D
Woodstock, GA 30189
Phone (770) 928-9263

Interoperability endpoints

  • Direct secure messaging: steven.weiskopf.1@4399.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1750388237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY.",
            "address_2": "STE. 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 BUCKHEAD XING",
            "address_2": "SUITE D",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894257",
            "telephone_number": "770-928-9263",
            "fax_number": "770-874-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKOPF",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00937241A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.