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
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory

Locations (25 of 44)

1819 Peachtree Rd NE
#225
Atlanta, GA 30309

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

1819 Peachtree Rd NE
Ste 225
Atlanta, GA 30309
Phone (404) 351-5015

1819 Peachtree Rd NE
Ste 3
Atlanta, GA 30309

63 Pleasant Hill Rd
Blairsville, GA 30512
Phone (706) 745-2229

101 Riverstone Vis
Ste 114
Blue Ridge, GA 30513
Phone (706) 946-4248

798 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 624-1956

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 2
Cartersville, GA 30120
Phone (770) 819-9211

1380 Milstead Ave NE
Ste B
Conyers, GA 30012
Phone (770) 483-1100

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

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
Gainesville, GA 30501
Phone (770) 536-4702

6911 Tara Blvd
Ste 201
Jonesboro, GA 30236

7160 Mt Zion Blvd Ste 13
Jonesboro, GA 30236

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

748 Old Norcross Rd
Ste 100
Lawrenceville, GA 30046
Phone (404) 297-4230

5910 Hillandale Dr
Ste 100
Lithonia, GA 30058

688 Walnut St
Ste 201
Macon, GA 31201
Phone (478) 476-8692

2469 E Piedmont Rd
Ste 1115
Marietta, GA 30062
Phone (678) 262-5093

2520 Windy Hill Rd SE
Marietta, GA 30067
Phone (678) 501-5601

2790 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 565-8151

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "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.