Organization Active NPI

Ankle and Foot Center of Georgia,LLC

  • Podiatrist
  • Lagrange, GA
National Provider Identifier
1750436127
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ANKLE AND FOOT CENTER OF GEORGIA,LLC
Practice address
1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4132
Phone
(706) 845-9370
Fax
(706) 845-9371
NPI assigned
Jan 24, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Richard Paul Hollstrom,Jr, DPMNPI 1710939145
Title
Owner
Phone
(706) 845-9370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 49

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

View all 49

National Provider Directory

National Provider Directory

Locations (25 of 50)

13057 Highway 9 N
Ste 210
Alpharetta, GA 30004
Phone (770) 559-0348

948 Prince Ave
Ste 100
Athens, GA 30606

644 N Chase St
Ste 100
Athens, GA 30601
Phone (770) 487-6716

1819 Peachtree Rd NE
Ste 103
Atlanta, GA 30309
Phone (678) 902-0456

1819 Peachtree Rd NE
Ste 3
Atlanta, GA 30309

1819 Peachtree Rd NE
Atlanta, GA 30309
Phone (770) 892-0300

1819 Peachtree Rd NE
#225
Atlanta, GA 30309

798 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 625-3777

147 Reinhardt College Pkwy
#S10
Canton, GA 30114

104 Dixie St
Carrollton, GA 30117
Phone (770) 838-4151

958 Joe Frank Harris Pkwy SE
Bldg A106
Cartersville, GA 30120
Phone (770) 386-1389

958 Joe Frank Harris Pkwy SE
Bldg 2
Cartersville, GA 30120
Phone (770) 819-9211

3910 Rosemont Dr
Columbus, GA 31904
Phone (706) 327-5158

2601 Salem Rd SE
Conyers, GA 30013
Phone (678) 205-4999

3152 Highway 278 NW
Covington, GA 30014
Phone (678) 342-3088

2575 Peachtree Pkwy
Ste 250
Cumming, GA 30041
Phone (404) 251-1880

765 Peachtree Pkwy
Ste 1
Cumming, GA 30041
Phone (678) 208-6788

215 Church St
Decatur, GA 30030

215 Clairemont Ave
Ste 14
Decatur, GA 30030

265 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 460-7600

1975 Beverly Rd
#B
Gainesville, GA 30501
Phone (770) 536-9908

7160 Mt Zion Blvd Ste 13
Jonesboro, GA 30236

6911 Tara Blvd
Ste 201
Jonesboro, GA 30236

7130 Mount Zion Blvd
Ste 14
Jonesboro, GA 30236
Phone (770) 716-2685

1555 Doctors Dr
Ste 106
Lagrange, GA 30240
Phone (706) 845-9370

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4132

Mailing address

1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4132
Phone (706) 845-9370

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2008.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1750436127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CENTER OF GEORGIA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLLSTROM,JR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-845-9370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.