Individual provider Active NPI

Rizcion Bamba Dagani, D.P.M.

  • Podiatrist
  • Smyrna, GA
National Provider Identifier
1801291950
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001366 Issued in GA
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

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125003199 GA Practitioner - Podiatry 0941633374 Reassigns benefits to 2 organizations

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
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

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 Hospital, Austell, GA, CCN 110143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue328
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3856FLMDPodiatrist
POD001366GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Aug 15, 2022 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Aug 15, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.