Active NPI
Rizcion Bamba Dagani, D.P.M.
- Podiatrist
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD001366
- Practice address
- 3200 Highlands Pkwy.
Ste. 100
Smyrna, GA 30082-5196 - Phone
- (770) 319-5502
- Fax
- (404) 481-4452
- NPI assigned
- Oct 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3856 | FL | |
| Podiatrist | 213E00000X | POD001366 | GA | Primary |
Addresses
Primary practice location
3200 Highlands Pkwy.
Ste. 100
Smyrna, GA 30082-5196
Mailing address
PO Box 108
Dallas, GA 30132-0003
Phone (678) 426-2171
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1224 Sherwood Park Dr NE
Gainesville, GA 30501-3445
Phone (770) 287-0606
1610 Mulkey Rd
Austell, GA 30106-1182
Phone (770) 745-5101
Hospital & facility affiliations
- Wellstar Cobb Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 328 |
| Removal or shaving of skin growth | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3856 | FL | MD | Podiatrist |
| POD001366 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group LLC | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group, L.L.C. | Podiatrist | Current | Accepting new patients |
Locations
4450 Calibre Xing NW
Ste 1130
Acworth, GA 30101
Phone (678) 403-7000
3506 Old Milton Pkwy
Alpharetta, GA 30005
Phone (678) 867-7053
2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1610 Mulkey Rd
Austell, GA 30106
Phone (770) 544-0444
132 Riverstone Ter
Ste 101
Canton, GA 30114
Phone (678) 880-0036
100 Market Place Blvd
Ste 302
Cartersville, GA 30121
Phone (470) 790-2008
960 Sanders Rd
Ste 100
Cumming, GA 30041
Phone (770) 889-9596
3625 Braselton Hwy
Ste 206
Dacula, GA 30019
Phone (470) 238-3458
100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717
8855 Hospital Dr
Ste 150
Douglasville, GA 30134
Phone (678) 838-4443
1711 Mount Vernon Rd
Dunwoody, GA 30338
Phone (404) 589-1330
1240 Highway 54 W
Ste 312
Fayetteville, GA 30214
Phone (678) 426-2171
1224 Sherwood Park Dr NE
Gainesville, GA 30501
Phone (770) 287-0606
500 Medical Center Blvd
Ste 100
Lawrenceville, GA 30046
Phone (770) 682-6000
5700 Hillandale Dr
Ste 220
Lithonia, GA 30058
Phone (404) 288-4117
120 Vann St NE
Ste 100
Marietta, GA 30060
Phone (678) 574-0861
5041 Dallas Hwy
Ste 101H
Powder Springs, GA 30127
Phone (770) 499-0080
1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171
5445 Meridian Mark Rd
Ste 390
Sandy Springs, GA 30342
Phone (404) 237-3668
3200 Highlands Pkwy SE
Ste 100
Smyrna, GA 30082
Phone (770) 319-5502
1198 Buckhead Xing
Ste D
Woodstock, GA 30189
Phone (770) 928-9263
4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171
Interoperability endpoints
- rizcion.dagani.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.
-
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
- NPI 1427540699
-
- Podiatrist
- Roswell, GA
- NPI 1508846718
-
- Podiatrist
- Royston, GA
- NPI 1659918969
-
- Foot & Ankle Surgery Podiatrist
- Covington, GA
- NPI 1942036314
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1801291950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320003",
"telephone_number": "678-426-2171",
"fax_number": "615-269-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 HIGHLANDS PKWY.",
"address_2": "STE. 100",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825196",
"telephone_number": "770-319-5502",
"fax_number": "404-481-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGANI",
"first_name": "RIZCION",
"middle_name": "BAMBA",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-31",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3856",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.