Individual provider Active NPI

Arnita F Avery, DPM

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
National Provider Identifier
1801998943
Registry record updated Sep 13, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jul 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000632 Issued in GA
Practice address
5825 Glenridge Dr
Building 2, Suite 110
Atlanta, GA 30328-5387
Phone
(404) 255-4900
Fax
(404) 255-4899
NPI assigned
Sep 1, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 000632 GA
Podiatrist 213E00000X 000632 GA
Primary Podiatric Medicine Podiatrist 213EP1101X 000632 GA
Radiology Podiatrist 213ER0200X 000632 GA
Sports Medicine Podiatrist 213ES0000X 000632 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 000632 GA Primary

Addresses

Primary practice location

5825 Glenridge Dr
Building 2, Suite 110
Atlanta, GA 30328-5387

Mailing address

5825 Glenridge Dr
Building 2, Suite 110
Atlanta, GA 30328-5387
Phone (404) 255-4900

Other identifiers 1

IdentifierTypeStateIssuer
GRP6860OtherGAMEDICARE GROUP NUMBER

Other names 1

  • Arnita Florence Avery-Kelly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
000632GAMDRadiology Podiatrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1801998943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR",
            "address_2": "BUILDING 2, SUITE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-255-4900",
            "fax_number": "404-255-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR",
            "address_2": "BUILDING 2, SUITE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-255-4900",
            "fax_number": "404-255-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ARNITA",
        "middle_name": "F",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "000632",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "000632",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "000632",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "GA",
            "license": "000632",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "GA",
            "license": "000632",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP6860",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARNITA",
            "last_name": "AVERY-KELLY",
            "middle_name": "FLORENCE",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.